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 $177.83 Median $275.42 Typical High $416.87 | Professional | None | $177.83 | $275.42 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $851.14 | Facility | None | $295.12 | $309.03 | $851.14 |
BCBS Kansas Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | None | $229.09 | $229.09 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $977.24 Typical High $1,023.29 | Facility | None | $389.05 | $977.24 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $398.11 | Professional | None | $190.55 | $309.03 | $398.11 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $12,022.64 | Facility | None | $309.03 | $630.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,318.26 Typical High $2,041.74 | Professional | None | $275.42 | $1,318.26 | $2,041.74 |
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 $190.55 Median $269.15 Typical High $398.11 | Professional | None | $190.55 | $269.15 | $398.11 |
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 $89.13 Median $138.04 Typical High $208.93 | Professional | 52 · Reduced service | $89.13 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $83.18 | Professional | 53 · Discontinued | $35.48 | $54.95 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $204.17 Typical High $316.23 | Professional | 54 · Surgery only | $131.83 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $40.74 Typical High $63.10 | Professional | 55 · Aftercare only | $26.30 | $40.74 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $27.54 Typical High $41.69 | Professional | 56 · Pre-op care only | $17.78 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $190.55 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $123.03 | $190.55 | $295.12 |
Where Kansas sits
The same service costs 4.1 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· 16th of 51
$316
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.