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 $194.98 Median $275.42 Typical High $338.84 | Professional | None | $194.98 | $275.42 | $338.84 |
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 $281.84 Median $281.84 Typical High $316.23 | Professional | None | $281.84 | $281.84 | $316.23 |
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 $204.17 Median $281.84 Typical High $354.81 | Professional | None | $204.17 | $281.84 | $354.81 |
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 $229.09 Median $1,479.11 Typical High $1,621.81 | Professional | None | $229.09 | $1,479.11 | $1,621.81 |
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 $199.53 Median $234.42 Typical High $338.84 | Professional | None | $199.53 | $234.42 | $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 $97.72 Median $138.04 Typical High $169.82 | Professional | 52 · Reduced service | $97.72 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $39.81 | $54.95 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $204.17 Typical High $251.19 | Professional | 54 · Surgery only | $147.91 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $40.74 Typical High $51.29 | Professional | 55 · Aftercare only | $29.51 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $27.54 Typical High $33.88 | Professional | 56 · Pre-op care only | $19.50 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $190.55 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $138.04 | $190.55 | $234.42 |
Where Kansas sits
The same service costs 4.8 times more in Alaska than in Florida. 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
$288
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.