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 $275.42 Median $3,467.37 Typical High $7,943.28 | Facility | None | $275.42 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $363.08 | Professional | None | $131.83 | $208.93 | $363.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $1,905.46 Typical High $1,995.26 | Facility | None | $173.78 | $1,905.46 | $1,995.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $338.84 | Professional | None | $186.21 | $186.21 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $398.11 Typical High $398.11 | Facility | None | $199.53 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $269.15 Typical High $354.81 | Professional | None | $144.54 | $269.15 | $354.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $416.87 Typical High $2,454.71 | Facility | None | $54.95 | $416.87 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $1,000.00 Typical High $1,862.09 | Professional | None | $257.04 | $1,000.00 | $1,862.09 |
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 $151.36 Median $239.88 Typical High $338.84 | Professional | None | $151.36 | $239.88 | $338.84 |
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 $66.07 Median $104.71 Typical High $181.97 | Professional | 52 · Reduced service | $66.07 | $104.71 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $41.69 Typical High $72.44 | Professional | 53 · Discontinued | $26.92 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $158.49 Typical High $275.42 | Professional | 54 · Surgery only | $100.00 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $31.62 Typical High $54.95 | Professional | 55 · Aftercare only | $19.95 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $20.89 Typical High $36.31 | Professional | 56 · Pre-op care only | $13.18 | $20.89 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $147.91 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $93.33 | $147.91 | $257.04 |
Where Kansas sits
The same service costs 3.6 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· 14th of 51
$295
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.