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 $79.43 Median $123.03 Typical High $181.97 | Professional | None | $79.43 | $123.03 | $181.97 |
BCBS Kansas Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $147.91 | Professional | None | $109.65 | $109.65 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $295.12 Typical High $602.56 | Facility | None | $107.15 | $295.12 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $162.18 | Professional | None | $81.28 | $131.83 | $162.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,288.25 | Facility | None | $54.95 | $316.23 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $588.84 Typical High $870.96 | Professional | None | $123.03 | $588.84 | $870.96 |
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 $87.10 Median $117.49 Typical High $165.96 | Professional | None | $87.10 | $117.49 | $165.96 |
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 $39.81 Median $61.66 Typical High $91.20 | Professional | 52 · Reduced service | $39.81 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $24.55 Typical High $36.31 | Professional | 53 · Discontinued | $15.85 | $24.55 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $91.20 Typical High $134.90 | Professional | 54 · Surgery only | $58.88 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $18.20 Typical High $26.92 | Professional | 55 · Aftercare only | $11.75 | $18.20 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $12.30 Typical High $18.20 | Professional | 56 · Pre-op care only | $7.94 | $12.30 | $18.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $85.11 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $54.95 | $85.11 | $125.89 |
Where Kansas sits
The same service costs 3.7 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· 23rd of 51
$126
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.