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 $208.93 Median $331.13 Typical High $512.86 | Professional | None | $208.93 | $331.13 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $257.04 Median $741.31 Typical High $794.33 | Facility | None | $257.04 | $741.31 | $794.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $489.78 | Professional | None | $346.74 | $346.74 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $588.84 Typical High $602.56 | Facility | None | $263.03 | $588.84 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $562.34 | Professional | None | $269.15 | $407.38 | $562.34 |
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 $363.08 Median $446.68 Typical High $2,884.03 | Professional | None | $363.08 | $446.68 | $2,884.03 |
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 $251.19 Median $371.54 Typical High $549.54 | Professional | None | $251.19 | $371.54 | $549.54 |
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 $104.71 Median $165.96 Typical High $257.04 | Professional | 52 · Reduced service | $104.71 | $165.96 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $66.07 Typical High $102.33 | Professional | 53 · Discontinued | $41.69 | $66.07 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $245.47 Typical High $389.05 | Professional | 54 · Surgery only | $158.49 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $48.98 Typical High $77.62 | Professional | 55 · Aftercare only | $31.62 | $48.98 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $33.11 Typical High $51.29 | Professional | 56 · Pre-op care only | $20.89 | $33.11 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $229.09 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $147.91 | $229.09 | $363.08 |
Where Kansas sits
The same service costs 3.5 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· 17th of 51
$427
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.