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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $338.84 | Professional | None | $147.91 | $229.09 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $165.96 Median $741.31 Typical High $776.25 | Facility | None | $165.96 | $741.31 | $776.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $354.81 | Professional | None | $239.88 | $239.88 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $389.05 | Facility | None | $194.98 | $218.78 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $371.54 | Professional | None | $173.78 | $257.04 | $371.54 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $630.96 Typical High $11,481.54 | Facility | None | $269.15 | $630.96 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $1,905.46 | Professional | None | $239.88 | $288.40 | $1,905.46 |
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 $169.82 Median $251.19 Typical High $371.54 | Professional | None | $169.82 | $251.19 | $371.54 |
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 $72.44 Median $114.82 Typical High $169.82 | Professional | 52 · Reduced service | $72.44 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $45.71 Typical High $67.61 | Professional | 53 · Discontinued | $29.51 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $173.78 Typical High $257.04 | Professional | 54 · Surgery only | $109.65 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $34.67 Typical High $51.29 | Professional | 55 · Aftercare only | $21.88 | $34.67 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.91 Typical High $33.88 | Professional | 56 · Pre-op care only | $14.79 | $22.91 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $162.18 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $102.33 | $162.18 | $239.88 |
Where Kansas sits
The same service costs 3.4 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· 11th of 51
$331
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.