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 $223.87 Median $2,754.23 Typical High $7,943.28 | Facility | None | $223.87 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $323.59 | Professional | None | $91.20 | $186.21 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $251.19 Median $933.25 Typical High $977.24 | Facility | None | $251.19 | $933.25 | $977.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $288.40 | Professional | None | $120.23 | $120.23 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $281.84 Typical High $309.03 | Facility | None | $213.80 | $281.84 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $338.84 | Professional | None | $109.65 | $194.98 | $338.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $416.87 Typical High $2,454.71 | Facility | None | $54.95 | $416.87 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $1,862.09 | Professional | None | $181.97 | $234.42 | $1,862.09 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $288.40 | Professional | None | $102.33 | $181.97 | $288.40 |
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 $70.79 Typical High $162.18 | Professional | 52 · Reduced service | $45.71 | $70.79 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.18 Typical High $64.57 | Professional | 53 · Discontinued | $18.20 | $28.18 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $107.15 Typical High $245.47 | Professional | 54 · Surgery only | $67.61 | $107.15 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $21.38 Typical High $48.98 | Professional | 55 · Aftercare only | $13.80 | $21.38 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.13 Typical High $32.36 | Professional | 56 · Pre-op care only | $9.12 | $14.13 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $100.00 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $63.10 | $100.00 | $229.09 |
Where Kansas sits
The same service costs 4.1 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· 10th of 51
$282
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.