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 $354.81 Median $2,754.23 Typical High $7,943.28 | Facility | None | $354.81 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $380.19 | Professional | None | $147.91 | $239.88 | $380.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $239.88 Median $676.08 Typical High $707.95 | Facility | None | $239.88 | $676.08 | $707.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | None | $239.88 | $239.88 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $436.52 Typical High $436.52 | Facility | None | $190.55 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $398.11 | Professional | None | $181.97 | $281.84 | $398.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $338.84 Typical High $1,445.44 | Facility | None | $54.95 | $338.84 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $2,089.30 | Professional | None | $263.03 | $309.03 | $2,089.30 |
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 $173.78 Median $263.03 Typical High $380.19 | Professional | None | $173.78 | $263.03 | $380.19 |
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 $72.44 Median $114.82 Typical High $186.21 | Professional | 52 · Reduced service | $72.44 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $45.71 Typical High $75.86 | Professional | 53 · Discontinued | $29.51 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $173.78 Typical High $281.84 | Professional | 54 · Surgery only | $109.65 | $173.78 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $34.67 Typical High $56.23 | Professional | 55 · Aftercare only | $21.88 | $34.67 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.91 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.79 | $22.91 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $162.18 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $102.33 | $162.18 | $263.03 |
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· 16th of 51
$309
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.