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 $269.15 Median $380.19 Typical High $467.74 | Professional | None | $269.15 | $380.19 | $467.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $1,445.44 | Facility | None | $151.36 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $398.11 | Professional | None | $354.81 | $354.81 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $186.21 | Facility | None | $128.82 | $177.83 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $467.74 | Professional | None | $269.15 | $371.54 | $467.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $389.05 Typical High $1,380.38 | Facility | None | $54.95 | $389.05 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $1,995.26 Typical High $2,238.72 | Professional | None | $288.40 | $1,995.26 | $2,238.72 |
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 $251.19 Median $295.12 Typical High $457.09 | Professional | None | $251.19 | $295.12 | $457.09 |
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 $134.90 Median $190.55 Typical High $234.42 | Professional | 52 · Reduced service | $134.90 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $75.86 Typical High $93.33 | Professional | 53 · Discontinued | $53.70 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $281.84 Typical High $354.81 | Professional | 54 · Surgery only | $204.17 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $56.23 Typical High $70.79 | Professional | 55 · Aftercare only | $40.74 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.02 Typical High $46.77 | Professional | 56 · Pre-op care only | $26.92 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $263.03 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $190.55 | $263.03 | $331.13 |
Where Kansas sits
The same service costs 5.4 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· 18th of 51
$380
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.