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 $134.90 Median $2,754.23 Typical High $7,943.28 | Facility | None | $134.90 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $95.50 Typical High $151.36 | Professional | None | $58.88 | $95.50 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | None | $91.20 | $91.20 | $95.50 |
BCBS Kansas Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $645.65 | Facility | None | $234.42 | $251.19 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | None | $93.33 | $93.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $158.49 | Professional | None | $69.18 | $109.65 | $158.49 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,380.38 | Facility | None | $54.95 | $186.21 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $851.14 | Professional | None | $102.33 | $125.89 | $851.14 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $147.91 | Professional | None | $66.07 | $104.71 | $147.91 |
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 $29.51 Median $46.77 Typical High $75.86 | Professional | 52 · Reduced service | $29.51 | $46.77 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.05 Typical High $30.20 | Professional | 53 · Discontinued | $12.02 | $19.05 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $70.79 Typical High $114.82 | Professional | 54 · Surgery only | $44.67 | $70.79 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $14.45 Typical High $22.91 | Professional | 55 · Aftercare only | $8.91 | $14.45 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $9.55 Typical High $15.14 | Professional | 56 · Pre-op care only | $5.89 | $9.55 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $41.69 Median $66.07 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $41.69 | $66.07 | $107.15 |
Where Kansas sits
The same service costs 3.9 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· 11th of 51
$141
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.