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 $199.53 Median $295.12 Typical High $380.19 | Professional | None | $199.53 | $295.12 | $380.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $1,905.46 | Facility | None | $758.58 | $1,819.70 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | None | $302.00 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $977.24 Typical High $1,023.29 | Facility | None | $389.05 | $977.24 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $416.87 | Professional | None | $234.42 | $288.40 | $416.87 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $630.96 Typical High $12,022.64 | Facility | None | $316.23 | $630.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $2,089.30 | Professional | None | $288.40 | $338.84 | $2,089.30 |
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 $234.42 Median $288.40 Typical High $436.52 | Professional | None | $234.42 | $288.40 | $436.52 |
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 $100.00 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $100.00 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $39.81 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $229.09 Typical High $288.40 | Professional | 54 · Surgery only | $147.91 | $229.09 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $45.71 Typical High $57.54 | Professional | 55 · Aftercare only | $29.51 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $30.20 Typical High $38.02 | Professional | 56 · Pre-op care only | $19.95 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $213.80 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $138.04 | $213.80 | $269.15 |
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· 14th of 51
$380
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.