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 $120.23 Median $186.21 Typical High $281.84 | Professional | None | $120.23 | $186.21 | $281.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $162.18 | Facility | None | $70.79 | $74.13 | $162.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | None | $223.87 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $218.78 | Facility | None | $123.03 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $302.00 | Professional | None | $147.91 | $208.93 | $302.00 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,380.38 | Facility | None | $54.95 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $1,584.89 | Professional | None | $199.53 | $239.88 | $1,584.89 |
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 $144.54 Median $204.17 Typical High $309.03 | Professional | None | $144.54 | $204.17 | $309.03 |
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 $58.88 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $58.88 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $37.15 Typical High $56.23 | Professional | 53 · Discontinued | $23.99 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $141.25 Typical High $213.80 | Professional | 54 · Surgery only | $89.13 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $28.18 Typical High $42.66 | Professional | 55 · Aftercare only | $17.78 | $28.18 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $18.62 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.02 | $18.62 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $131.83 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $83.18 | $131.83 | $199.53 |
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· 26th of 51
$209
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.