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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $316.23 | Professional | None | $131.83 | $208.93 | $316.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $181.97 Median $776.25 Typical High $812.83 | Facility | None | $181.97 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | None | $223.87 | $223.87 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $389.05 | Facility | None | $173.78 | $218.78 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $338.84 | Professional | None | $165.96 | $234.42 | $338.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,288.25 | Facility | None | $54.95 | $316.23 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $1,778.28 | Professional | None | $223.87 | $269.15 | $1,778.28 |
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 $162.18 Median $229.09 Typical High $346.74 | Professional | None | $162.18 | $229.09 | $346.74 |
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 $66.07 Median $104.71 Typical High $158.49 | Professional | 52 · Reduced service | $66.07 | $104.71 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $26.92 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $158.49 Typical High $239.88 | Professional | 54 · Surgery only | $100.00 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $31.62 Typical High $47.86 | Professional | 55 · Aftercare only | $19.95 | $31.62 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $20.89 Typical High $31.62 | Professional | 56 · Pre-op care only | $13.18 | $20.89 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $147.91 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $93.33 | $147.91 | $223.87 |
Where Kansas sits
The same service costs 3.5 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· 15th of 51
$275
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.