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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $309.03 | Professional | None | $114.82 | $186.21 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $229.09 | Professional | None | $147.91 | $147.91 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $933.25 Typical High $1,258.93 | Facility | None | $162.18 | $933.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $275.42 | Professional | None | $114.82 | $186.21 | $275.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $562.34 Typical High $2,691.53 | Facility | None | $54.95 | $562.34 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $831.76 Typical High $1,412.54 | Professional | None | $186.21 | $831.76 | $1,412.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $239.88 | Professional | None | $120.23 | $173.78 | $239.88 |
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 $57.54 Median $93.33 Typical High $154.88 | Professional | 52 · Reduced service | $57.54 | $93.33 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $37.15 Typical High $61.66 | Professional | 53 · Discontinued | $23.44 | $37.15 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $138.04 Typical High $229.09 | Professional | 54 · Surgery only | $87.10 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $27.54 Typical High $45.71 | Professional | 55 · Aftercare only | $17.38 | $27.54 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $18.62 Typical High $30.90 | Professional | 56 · Pre-op care only | $11.48 | $18.62 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $128.82 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $81.28 | $128.82 | $213.80 |
Where Kansas sits
The same service costs 3.4 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· 16th of 51
$209
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.