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 $281.84 Median $2,754.23 Typical High $7,943.28 | Facility | None | $281.84 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $257.04 | Professional | None | $128.82 | $199.53 | $257.04 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $1,174.90 Typical High $1,230.27 | Facility | None | $158.49 | $1,174.90 | $1,230.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | None | $213.80 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $426.58 Typical High $501.19 | Facility | None | $154.88 | $426.58 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $281.84 | Professional | None | $147.91 | $190.55 | $281.84 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $630.96 Typical High $11,481.54 | Facility | None | $223.87 | $630.96 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $1,445.44 | Professional | None | $190.55 | $223.87 | $1,445.44 |
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 $147.91 Median $190.55 Typical High $288.40 | Professional | None | $147.91 | $190.55 | $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 $64.57 Median $100.00 Typical High $128.82 | Professional | 52 · Reduced service | $64.57 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $51.29 | Professional | 53 · Discontinued | $25.70 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $151.36 Typical High $194.98 | Professional | 54 · Surgery only | $95.50 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $30.20 Typical High $38.90 | Professional | 55 · Aftercare only | $19.05 | $30.20 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.95 Typical High $25.70 | Professional | 56 · Pre-op care only | $12.88 | $19.95 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $141.25 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $89.13 | $141.25 | $181.97 |
Where Kansas sits
The same service costs 3.9 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
$263
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.