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 $467.74 Median $4,570.88 Typical High $8,912.51 | Facility | None | $467.74 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $489.78 | Professional | None | $302.00 | $389.05 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $407.38 Typical High $436.52 | Facility | None | $151.36 | $407.38 | $436.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | None | $363.08 | $363.08 | $380.19 |
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 $295.12 Median $407.38 Typical High $489.78 | Professional | None | $295.12 | $407.38 | $489.78 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $389.05 Typical High $1,412.54 | Facility | None | $54.95 | $389.05 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $2,187.76 Typical High $2,344.23 | Professional | None | $295.12 | $2,187.76 | $2,344.23 |
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 $257.04 Median $323.59 Typical High $478.63 | Professional | None | $257.04 | $323.59 | $478.63 |
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 $151.36 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $60.26 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $295.12 Typical High $363.08 | Professional | 54 · Surgery only | $223.87 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $58.88 Typical High $72.44 | Professional | 55 · Aftercare only | $44.67 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $38.90 Typical High $48.98 | Professional | 56 · Pre-op care only | $30.20 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $275.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $208.93 | $275.42 | $338.84 |
Where Kansas sits
The same service costs 5.6 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· 20th 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.