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 $186.21 Median $323.59 Typical High $512.86 | Professional | None | $186.21 | $323.59 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $776.25 Typical High $812.83 | Facility | None | $407.38 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $524.81 | Professional | None | $316.23 | $316.23 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $602.56 | Facility | None | $446.68 | $588.84 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $524.81 | Professional | None | $229.09 | $389.05 | $524.81 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $478.63 Typical High $16,218.10 | Facility | None | $162.18 | $478.63 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $2,818.38 | Professional | None | $323.59 | $416.87 | $2,818.38 |
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 $218.78 Median $331.13 Typical High $489.78 | Professional | None | $218.78 | $331.13 | $489.78 |
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 $93.33 Median $144.54 Typical High $257.04 | Professional | 52 · Reduced service | $93.33 | $144.54 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $58.88 Typical High $102.33 | Professional | 53 · Discontinued | $37.15 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $218.78 Typical High $380.19 | Professional | 54 · Surgery only | $141.25 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $43.65 Typical High $75.86 | Professional | 55 · Aftercare only | $28.18 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $28.84 Typical High $51.29 | Professional | 56 · Pre-op care only | $18.62 | $28.84 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $204.17 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $131.83 | $204.17 | $354.81 |
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· 12th of 51
$437
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.