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 $416.87 Median $2,754.23 Typical High $7,943.28 | Facility | None | $416.87 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $416.87 | Professional | None | $173.78 | $269.15 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $446.68 | Facility | None | $257.04 | $426.58 | $446.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None | $354.81 | $354.81 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $436.52 | Facility | None | $199.53 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $436.52 | Professional | None | $218.78 | $316.23 | $436.52 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $346.74 Typical High $1,412.54 | Facility | None | $54.95 | $346.74 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $2,344.23 | Professional | None | $288.40 | $346.74 | $2,344.23 |
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 $204.17 Median $295.12 Typical High $436.52 | Professional | None | $204.17 | $295.12 | $436.52 |
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 $87.10 Median $134.90 Typical High $208.93 | Professional | 52 · Reduced service | $87.10 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $53.70 Typical High $85.11 | Professional | 53 · Discontinued | $34.67 | $53.70 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $204.17 Typical High $316.23 | Professional | 54 · Surgery only | $128.82 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $40.74 Typical High $63.10 | Professional | 55 · Aftercare only | $25.70 | $40.74 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $26.92 Typical High $41.69 | Professional | 56 · Pre-op care only | $17.38 | $26.92 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $190.55 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $120.23 | $190.55 | $295.12 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 14th 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.