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 $234.42 Median $3,548.13 Typical High $7,943.28 | Facility | None | $234.42 | $3,548.13 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $213.80 | Professional | None | $95.50 | $147.91 | $213.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $831.76 Typical High $870.96 | Facility | None | $128.82 | $831.76 | $870.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $389.05 | Facility | None | $125.89 | $141.25 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $229.09 | Professional | None | $112.20 | $158.49 | $229.09 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $616.60 Typical High $11,481.54 | Facility | None | $173.78 | $616.60 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $1,202.26 | Professional | None | $154.88 | $186.21 | $1,202.26 |
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 $112.20 Median $158.49 Typical High $239.88 | Professional | None | $112.20 | $158.49 | $239.88 |
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 $47.86 Median $74.13 Typical High $107.15 | Professional | 52 · Reduced service | $47.86 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $19.05 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $112.20 Typical High $162.18 | Professional | 54 · Surgery only | $70.79 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $22.39 Typical High $32.36 | Professional | 55 · Aftercare only | $14.13 | $22.39 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $14.79 Typical High $21.38 | Professional | 56 · Pre-op care only | $9.55 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $104.71 Typical High $151.36 | Professional | 78 · Unplanned return to OR | $66.07 | $104.71 | $151.36 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$214
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.