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 $75.86 Median $120.23 Typical High $190.55 | Professional | None | $75.86 | $120.23 | $190.55 |
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 $141.25 Median $141.25 Typical High $218.78 | Professional | None | $141.25 | $141.25 | $218.78 |
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 $91.20 Median $141.25 Typical High $199.53 | Professional | None | $91.20 | $141.25 | $199.53 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $213.80 Typical High $1,380.38 | Facility | None | $54.95 | $213.80 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $1,047.13 | Professional | None | $131.83 | $158.49 | $1,047.13 |
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 $89.13 Median $134.90 Typical High $194.98 | Professional | None | $89.13 | $134.90 | $194.98 |
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 $38.02 Median $60.26 Typical High $95.50 | Professional | 52 · Reduced service | $38.02 | $60.26 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $23.99 Typical High $38.02 | Professional | 53 · Discontinued | $15.14 | $23.99 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $89.13 Typical High $141.25 | Professional | 54 · Surgery only | $57.54 | $89.13 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $17.78 Typical High $28.18 | Professional | 55 · Aftercare only | $11.48 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $12.02 Typical High $19.05 | Professional | 56 · Pre-op care only | $7.59 | $12.02 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $53.70 Median $83.18 Typical High $131.83 | Professional | 78 · Unplanned return to OR | $53.70 | $83.18 | $131.83 |
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· 25th 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.