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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $371.54 | Facility | None | $218.78 | $354.81 | $371.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $371.54 | Professional | None | $251.19 | $251.19 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $436.52 Typical High $436.52 | Facility | None | $177.83 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $416.87 | Professional | None | $199.53 | $302.00 | $416.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $575.44 Typical High $2,630.27 | Facility | None | $54.95 | $575.44 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $2,137.96 | Professional | None | $269.15 | $338.84 | $2,137.96 |
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 $194.98 Median $281.84 Typical High $416.87 | Professional | None | $194.98 | $281.84 | $416.87 |
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 $97.72 Median $147.91 Typical High $223.87 | Professional | 52 · Reduced service | $97.72 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $58.88 Typical High $89.13 | Professional | 53 · Discontinued | $38.90 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $218.78 Typical High $331.13 | Professional | 54 · Surgery only | $144.54 | $218.78 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $43.65 Typical High $66.07 | Professional | 55 · Aftercare only | $28.84 | $43.65 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $29.51 Typical High $44.67 | Professional | 56 · Pre-op care only | $19.50 | $29.51 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $204.17 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $134.90 | $204.17 | $309.03 |
Where Kansas sits
The same service costs 3.5 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· 15th of 51
$355
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.