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 $194.98 Median $3,630.78 Typical High $8,912.51 | Facility | None | $194.98 | $3,630.78 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $331.13 | Professional | None | $120.23 | $199.53 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $933.25 | Facility | None | $891.25 | $891.25 | $933.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None | $154.88 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $72.44 | Facility | None | $66.07 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $338.84 | Professional | None | $112.20 | $199.53 | $338.84 |
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 $234.42 Median $398.11 Typical High $1,548.82 | Professional | None | $234.42 | $398.11 | $1,548.82 |
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 $128.82 Median $213.80 Typical High $295.12 | Professional | None | $128.82 | $213.80 | $295.12 |
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 $60.26 Median $97.72 Typical High $165.96 | Professional | 52 · Reduced service | $60.26 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $38.90 Typical High $66.07 | Professional | 53 · Discontinued | $23.99 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $147.91 Typical High $245.47 | Professional | 54 · Surgery only | $91.20 | $147.91 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $29.51 Typical High $48.98 | Professional | 55 · Aftercare only | $18.20 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $19.50 Typical High $33.11 | Professional | 56 · Pre-op care only | $12.02 | $19.50 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $138.04 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $85.11 | $138.04 | $229.09 |
Where Kansas sits
The same service costs 4.5 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· 9th of 51
$269
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.