How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $120.23 Median $1,737.80 Typical High $7,762.47 | Facility | None | $120.23 | $1,737.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $173.78 | Professional | None | $93.33 | $138.04 | $173.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $251.19 | Facility | None | $102.33 | $234.42 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $117.49 | Facility | None | $81.28 | $104.71 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $177.83 | Professional | None | $104.71 | $125.89 | $177.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,380.38 | Facility | None | $54.95 | $199.53 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $954.99 | Professional | None | $109.65 | $138.04 | $954.99 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | None | $100.00 | $120.23 | $190.55 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $45.71 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $18.62 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $102.33 Typical High $128.82 | Professional | 54 · Surgery only | $69.18 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $20.42 Typical High $25.70 | Professional | 55 · Aftercare only | $13.80 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $13.80 Typical High $17.38 | Professional | 56 · Pre-op care only | $9.33 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $95.50 Typical High $120.23 | Professional | 78 · Unplanned return to OR | $64.57 | $95.50 | $120.23 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 18th of 51
$145
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.