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 $154.88 Median $239.88 Typical High $407.38 | Professional | None | $154.88 | $239.88 | $407.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $707.95 | Facility | None | $645.65 | $676.08 | $707.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $363.08 | Professional | None | $223.87 | $223.87 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $933.25 Typical High $1,023.29 | Facility | None | $389.05 | $933.25 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $380.19 | Professional | None | $169.82 | $281.84 | $380.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $575.44 Typical High $3,162.28 | Facility | None | $54.95 | $575.44 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $1,174.90 Typical High $1,995.26 | Professional | None | $269.15 | $1,174.90 | $1,995.26 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $354.81 | Professional | None | $169.82 | $257.04 | $354.81 |
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 $77.62 Median $120.23 Typical High $204.17 | Professional | 52 · Reduced service | $77.62 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $48.98 Typical High $81.28 | Professional | 53 · Discontinued | $30.90 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $181.97 Typical High $302.00 | Professional | 54 · Surgery only | $117.49 | $181.97 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $36.31 Typical High $60.26 | Professional | 55 · Aftercare only | $23.44 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $23.99 Typical High $40.74 | Professional | 56 · Pre-op care only | $15.49 | $23.99 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $169.82 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $109.65 | $169.82 | $281.84 |
Where Kansas sits
The same service costs 4.5 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· 10th of 51
$363
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.