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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $275.42 | Professional | None | $138.04 | $213.80 | $275.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $1,905.46 Typical High $2,041.74 | Facility | None | $158.49 | $1,905.46 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | None | $234.42 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $436.52 Typical High $436.52 | Facility | None | $158.49 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $302.00 | Professional | None | $158.49 | $204.17 | $302.00 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $912.01 Typical High $11,481.54 | Facility | None | $239.88 | $912.01 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $1,548.82 | Professional | None | $204.17 | $239.88 | $1,548.82 |
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 $158.49 Median $208.93 Typical High $309.03 | Professional | None | $158.49 | $208.93 | $309.03 |
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 $69.18 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $69.18 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $43.65 Typical High $54.95 | Professional | 53 · Discontinued | $27.54 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $162.18 Typical High $208.93 | Professional | 54 · Surgery only | $102.33 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $32.36 Typical High $41.69 | Professional | 55 · Aftercare only | $20.89 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $21.38 Typical High $27.54 | Professional | 56 · Pre-op care only | $13.80 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $151.36 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $95.50 | $151.36 | $194.98 |
Where Kansas sits
The same service costs 4.0 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· 12th of 51
$275
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.