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 $660.69 Median $3,630.78 Typical High $7,943.28 | Facility | None | $660.69 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $457.09 | Professional | None | $204.17 | $323.59 | $457.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $851.14 Median $1,698.24 Typical High $1,819.70 | Facility | None | $851.14 | $1,698.24 | $1,819.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,047.13 | Facility | None | $524.81 | $912.01 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $501.19 | Professional | None | $245.47 | $346.74 | $501.19 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $16,218.10 | Facility | None | $380.19 | $912.01 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $2,511.89 | Professional | None | $323.59 | $389.05 | $2,511.89 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $512.86 | Professional | None | $239.88 | $338.84 | $512.86 |
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 $102.33 Median $162.18 Typical High $223.87 | Professional | 52 · Reduced service | $102.33 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $91.20 | Professional | 53 · Discontinued | $40.74 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $239.88 Typical High $338.84 | Professional | 54 · Surgery only | $154.88 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $47.86 Typical High $67.61 | Professional | 55 · Aftercare only | $30.90 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $32.36 Typical High $45.71 | Professional | 56 · Pre-op care only | $20.42 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $223.87 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $144.54 | $223.87 | $316.23 |
Where Kansas sits
The same service costs 4.0 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· 8th of 51
$501
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.