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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $263.03 | Professional | None | $107.15 | $165.96 | $263.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $74.13 | Facility | None | $70.79 | $74.13 | $74.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $269.15 | Professional | None | $177.83 | $177.83 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $83.18 | Facility | None | $66.07 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $275.42 | Professional | None | $131.83 | $194.98 | $275.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $295.12 Typical High $1,288.25 | Facility | None | $54.95 | $295.12 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $1,445.44 | Professional | None | $181.97 | $218.78 | $1,445.44 |
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 $128.82 Median $186.21 Typical High $275.42 | Professional | None | $128.82 | $186.21 | $275.42 |
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 $52.48 Median $83.18 Typical High $128.82 | Professional | 52 · Reduced service | $52.48 | $83.18 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.11 Typical High $52.48 | Professional | 53 · Discontinued | $21.38 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $125.89 Typical High $194.98 | Professional | 54 · Surgery only | $79.43 | $125.89 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $25.12 Typical High $38.90 | Professional | 55 · Aftercare only | $15.85 | $25.12 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $16.60 Typical High $26.30 | Professional | 56 · Pre-op care only | $10.72 | $16.60 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $117.49 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $74.13 | $117.49 | $181.97 |
Where Kansas sits
The same service costs 3.3 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· 27th of 51
$186
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.