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 $213.80 Typical High $371.54 | Professional | None | $134.90 | $213.80 | $371.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $208.93 Median $3,235.94 Typical High $3,467.37 | Facility | None | $208.93 | $3,235.94 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $281.84 | Professional | None | $169.82 | $169.82 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $707.95 Typical High $1,258.93 | Facility | None | $204.17 | $707.95 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $331.13 | Professional | None | $134.90 | $223.87 | $331.13 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $562.34 Typical High $2,951.21 | Facility | None | $54.95 | $562.34 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $977.24 Typical High $1,698.24 | Professional | None | $229.09 | $977.24 | $1,698.24 |
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 $141.25 Median $208.93 Typical High $288.40 | Professional | None | $141.25 | $208.93 | $288.40 |
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 $107.15 Typical High $186.21 | Professional | 52 · Reduced service | $67.61 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $42.66 Typical High $74.13 | Professional | 53 · Discontinued | $26.92 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $162.18 Typical High $275.42 | Professional | 54 · Surgery only | $102.33 | $162.18 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $32.36 Typical High $56.23 | Professional | 55 · Aftercare only | $20.42 | $32.36 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.38 Typical High $37.15 | Professional | 56 · Pre-op care only | $13.49 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $151.36 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $95.50 | $151.36 | $257.04 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Washington, DC. 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· 14th of 51
$263
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.