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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $190.55 | Professional | None | $93.33 | $144.54 | $190.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $741.31 Typical High $776.25 | Facility | None | $128.82 | $741.31 | $776.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | None | $154.88 | $154.88 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $446.68 | Facility | None | $125.89 | $426.58 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $204.17 | Professional | None | $104.71 | $138.04 | $204.17 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $630.96 Typical High $11,481.54 | Facility | None | $154.88 | $630.96 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $1,071.52 | Professional | None | $138.04 | $165.96 | $1,071.52 |
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 $104.71 Median $141.25 Typical High $208.93 | Professional | None | $104.71 | $141.25 | $208.93 |
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 $46.77 Median $72.44 Typical High $95.50 | Professional | 52 · Reduced service | $46.77 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $29.51 Typical High $38.02 | Professional | 53 · Discontinued | $18.62 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $109.65 Typical High $141.25 | Professional | 54 · Surgery only | $69.18 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $21.88 Typical High $28.84 | Professional | 55 · Aftercare only | $13.80 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $14.45 Typical High $19.05 | Professional | 56 · Pre-op care only | $9.33 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $102.33 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $64.57 | $102.33 | $131.83 |
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
$195
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.