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 $660.69 Median $3,630.78 Typical High $7,943.28 | Facility | None | $660.69 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $331.13 | Professional | None | $147.91 | $229.09 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $602.56 | Facility | None | $177.83 | $575.44 | $602.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None | $208.93 | $208.93 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $588.84 Typical High $588.84 | Facility | None | $190.55 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $323.59 | Professional | None | $158.49 | $251.19 | $323.59 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $416.87 Typical High $2,570.40 | Facility | None | $54.95 | $416.87 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,096.48 Typical High $1,659.59 | Professional | None | $213.80 | $1,096.48 | $1,659.59 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $316.23 | Professional | None | $154.88 | $208.93 | $316.23 |
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 $74.13 Median $114.82 Typical High $165.96 | Professional | 52 · Reduced service | $74.13 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $46.77 Typical High $67.61 | Professional | 53 · Discontinued | $29.51 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $173.78 Typical High $251.19 | Professional | 54 · Surgery only | $112.20 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $34.67 Typical High $50.12 | Professional | 55 · Aftercare only | $22.39 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.91 Typical High $33.11 | Professional | 56 · Pre-op care only | $14.79 | $22.91 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $162.18 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $104.71 | $162.18 | $234.42 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 16th of 51
$269
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.