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 $239.88 Median $4,677.35 Typical High $9,549.93 | Facility | None | $239.88 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $239.88 | Professional | None | $104.71 | $169.82 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $707.95 Typical High $794.33 | Facility | None | $134.90 | $707.95 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $257.04 | Professional | None | $100.00 | $158.49 | $257.04 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $562.34 Typical High $2,630.27 | Facility | None | $54.95 | $562.34 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $316.23 Typical High $1,122.02 | Professional | None | $147.91 | $316.23 | $1,122.02 |
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 $104.71 Median $151.36 Typical High $223.87 | Professional | None | $104.71 | $151.36 | $223.87 |
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 $52.48 Median $85.11 Typical High $120.23 | Professional | 52 · Reduced service | $52.48 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.88 Typical High $48.98 | Professional | 53 · Discontinued | $20.89 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $125.89 Typical High $181.97 | Professional | 54 · Surgery only | $77.62 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $25.12 Typical High $36.31 | Professional | 55 · Aftercare only | $15.49 | $25.12 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.98 Typical High $23.99 | Professional | 56 · Pre-op care only | $10.47 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $117.49 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $72.44 | $117.49 | $169.82 |
Where Kansas sits
The same service costs 4.4 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· 18th of 51
$186
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.