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 $630.96 Median $2,754.23 Typical High $7,943.28 | Facility | None | $630.96 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $575.44 | Professional | None | $263.03 | $407.38 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $316.23 Median $851.14 Typical High $912.01 | Facility | None | $316.23 | $851.14 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $602.56 Typical High $707.95 | Facility | None | $269.15 | $602.56 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $549.54 | Professional | None | $275.42 | $426.58 | $549.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $537.03 Typical High $1,995.26 | Facility | None | $54.95 | $537.03 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $1,949.84 Typical High $2,754.23 | Professional | None | $380.19 | $1,949.84 | $2,754.23 |
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 $288.40 Median $363.08 Typical High $549.54 | Professional | None | $288.40 | $363.08 | $549.54 |
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 $131.83 Median $204.17 Typical High $288.40 | Professional | 52 · Reduced service | $131.83 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $81.28 Typical High $114.82 | Professional | 53 · Discontinued | $52.48 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $309.03 Typical High $426.58 | Professional | 54 · Surgery only | $199.53 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $61.66 Typical High $87.10 | Professional | 55 · Aftercare only | $39.81 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $40.74 Typical High $57.54 | Professional | 56 · Pre-op care only | $26.30 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $288.40 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $186.21 | $288.40 | $398.11 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Texas. 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
$447
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.