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 $134.90 Median $229.09 Typical High $398.11 | Professional | None | $134.90 | $229.09 | $398.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $309.03 | Facility | None | $229.09 | $295.12 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | None | $173.78 | $173.78 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $794.33 Typical High $794.33 | Facility | None | $218.78 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $398.11 | Professional | None | $131.83 | $234.42 | $398.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $575.44 Typical High $2,630.27 | Facility | None | $54.95 | $575.44 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $501.19 Typical High $1,862.09 | Professional | None | $229.09 | $501.19 | $1,862.09 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $338.84 | Professional | None | $138.04 | $229.09 | $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 $67.61 Median $114.82 Typical High $194.98 | Professional | 52 · Reduced service | $67.61 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $79.43 | Professional | 53 · Discontinued | $26.92 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $169.82 Typical High $295.12 | Professional | 54 · Surgery only | $102.33 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $33.88 Typical High $58.88 | Professional | 55 · Aftercare only | $20.42 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $22.91 Typical High $39.81 | Professional | 56 · Pre-op care only | $13.49 | $22.91 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $158.49 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $95.50 | $158.49 | $275.42 |
Where Kansas sits
The same service costs 4.3 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· 12th of 51
$309
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.