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 $213.80 Median $338.84 Typical High $575.44 | Professional | None | $213.80 | $338.84 | $575.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $323.59 Median $1,380.38 Typical High $1,445.44 | Facility | None | $323.59 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $436.52 | Professional | None | $229.09 | $229.09 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $794.33 Typical High $794.33 | Facility | None | $346.74 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $489.78 | Professional | None | $181.97 | $331.13 | $489.78 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $588.84 Typical High $2,630.27 | Facility | None | $54.95 | $588.84 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $1,479.11 Typical High $2,630.27 | Professional | None | $346.74 | $1,479.11 | $2,630.27 |
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 $199.53 Median $302.00 Typical High $446.68 | Professional | None | $199.53 | $302.00 | $446.68 |
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 $107.15 Median $169.82 Typical High $288.40 | Professional | 52 · Reduced service | $107.15 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $67.61 Typical High $114.82 | Professional | 53 · Discontinued | $42.66 | $67.61 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $251.19 Typical High $436.52 | Professional | 54 · Surgery only | $162.18 | $251.19 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $50.12 Typical High $87.10 | Professional | 55 · Aftercare only | $32.36 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $33.88 Typical High $57.54 | Professional | 56 · Pre-op care only | $21.38 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $234.42 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $151.36 | $234.42 | $407.38 |
Where Kansas sits
The same service costs 3.5 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· 13th of 51
$407
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.