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 $331.13 Median $2,754.23 Typical High $7,943.28 | Facility | None | $331.13 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $302.00 | Professional | None | $144.54 | $223.87 | $302.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,041.74 | Facility | None | $741.31 | $1,905.46 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | None | $218.78 | $218.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $1,023.29 | Facility | None | $380.19 | $912.01 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $323.59 | Professional | None | $165.96 | $223.87 | $323.59 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $891.25 Typical High $12,022.64 | Facility | None | $245.47 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $1,659.59 | Professional | None | $213.80 | $257.04 | $1,659.59 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $331.13 | Professional | None | $162.18 | $218.78 | $331.13 |
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 $72.44 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $72.44 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $44.67 Typical High $60.26 | Professional | 53 · Discontinued | $28.84 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $169.82 Typical High $223.87 | Professional | 54 · Surgery only | $107.15 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $33.88 Typical High $44.67 | Professional | 55 · Aftercare only | $21.38 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $22.39 Typical High $30.20 | Professional | 56 · Pre-op care only | $14.45 | $22.39 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $158.49 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $100.00 | $158.49 | $208.93 |
Where Kansas sits
The same service costs 4.6 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· 14th of 51
$302
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.