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 $95.50 Median $154.88 Typical High $251.19 | Professional | None | $95.50 | $154.88 | $251.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Facility | None | $660.69 | $660.69 | $691.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | None | $114.82 | $114.82 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $83.18 | Facility | None | $66.07 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $177.83 Typical High $229.09 | Professional | None | $100.00 | $177.83 | $229.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $251.19 Typical High $1,380.38 | Facility | None | $54.95 | $251.19 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $186.21 Typical High $1,230.27 | Professional | None | $125.89 | $186.21 | $1,230.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $213.80 | Professional | None | $79.43 | $131.83 | $213.80 |
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 $47.86 Median $72.44 Typical High $125.89 | Professional | 52 · Reduced service | $47.86 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.84 Typical High $50.12 | Professional | 53 · Discontinued | $19.05 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $109.65 Typical High $190.55 | Professional | 54 · Surgery only | $72.44 | $109.65 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $21.88 Typical High $38.02 | Professional | 55 · Aftercare only | $14.45 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $14.45 Typical High $25.12 | Professional | 56 · Pre-op care only | $9.55 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $102.33 Typical High $177.83 | Professional | 78 · Unplanned return to OR | $67.61 | $102.33 | $177.83 |
Where Kansas sits
The same service costs 4.5 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· 12th of 51
$200
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.