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 $575.44 Median $3,890.45 Typical High $8,912.51 | Facility | None | $575.44 | $3,890.45 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $524.81 | Professional | None | $213.80 | $331.13 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $512.86 Typical High $537.03 | Facility | None | $407.38 | $512.86 | $537.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $512.86 | Professional | None | $346.74 | $346.74 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $676.08 | Facility | None | $446.68 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $575.44 | Professional | None | $269.15 | $426.58 | $575.44 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $512.86 Typical High $26,302.68 | Facility | None | $162.18 | $512.86 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $2,951.21 | Professional | None | $389.05 | $457.09 | $2,951.21 |
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 $257.04 Median $389.05 Typical High $562.34 | Professional | None | $257.04 | $389.05 | $562.34 |
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 $107.15 Median $165.96 Typical High $263.03 | Professional | 52 · Reduced service | $107.15 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $66.07 Typical High $104.71 | Professional | 53 · Discontinued | $42.66 | $66.07 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $251.19 Typical High $398.11 | Professional | 54 · Surgery only | $158.49 | $251.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $50.12 Typical High $79.43 | Professional | 55 · Aftercare only | $31.62 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.11 Typical High $52.48 | Professional | 56 · Pre-op care only | $21.38 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $234.42 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $147.91 | $234.42 | $371.54 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 17th of 51
$457
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.