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 $154.88 Median $234.42 Typical High $288.40 | Professional | None | $154.88 | $234.42 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $151.36 Median $1,548.82 Typical High $1,621.81 | Facility | None | $151.36 | $1,548.82 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $436.52 Typical High $436.52 | Facility | None | $128.82 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $281.84 | Professional | None | $158.49 | $218.78 | $281.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $288.40 Typical High $1,380.38 | Facility | None | $54.95 | $288.40 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $1,148.15 Typical High $1,380.38 | Professional | None | $181.97 | $1,148.15 | $1,380.38 |
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 $158.49 Median $190.55 Typical High $275.42 | Professional | None | $158.49 | $190.55 | $275.42 |
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 $77.62 Median $117.49 Typical High $144.54 | Professional | 52 · Reduced service | $77.62 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $46.77 Typical High $57.54 | Professional | 53 · Discontinued | $30.90 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $173.78 Typical High $218.78 | Professional | 54 · Surgery only | $114.82 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $35.48 Typical High $43.65 | Professional | 55 · Aftercare only | $23.44 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $23.44 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.49 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $162.18 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $107.15 | $162.18 | $204.17 |
Where Kansas sits
The same service costs 4.6 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· 17th of 51
$240
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.