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 $181.97 Median $281.84 Typical High $398.11 | Professional | None | $181.97 | $281.84 | $398.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $1,698.24 Typical High $1,819.70 | Facility | None | $218.78 | $1,698.24 | $1,819.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $436.52 Typical High $446.68 | Facility | None | $173.78 | $436.52 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $436.52 | Professional | None | $218.78 | $302.00 | $436.52 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $11,481.54 | Facility | None | $331.13 | $645.65 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $2,187.76 | Professional | None | $281.84 | $338.84 | $2,187.76 |
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 $208.93 Median $295.12 Typical High $446.68 | Professional | None | $208.93 | $295.12 | $446.68 |
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 $91.20 Median $141.25 Typical High $199.53 | Professional | 52 · Reduced service | $91.20 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $56.23 Typical High $79.43 | Professional | 53 · Discontinued | $36.31 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $213.80 Typical High $295.12 | Professional | 54 · Surgery only | $134.90 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $42.66 Typical High $60.26 | Professional | 55 · Aftercare only | $26.92 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.18 Typical High $39.81 | Professional | 56 · Pre-op care only | $18.20 | $28.18 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $199.53 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $125.89 | $199.53 | $275.42 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 9th of 51
$398
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.