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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $239.88 | Professional | None | $114.82 | $158.49 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $309.03 | Facility | None | $117.49 | $295.12 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $204.17 | Professional | None | $147.91 | $147.91 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $707.95 Typical High $794.33 | Facility | None | $120.23 | $707.95 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $245.47 | Professional | None | $112.20 | $162.18 | $245.47 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $562.34 Typical High $3,162.28 | Facility | None | $54.95 | $562.34 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $831.76 Typical High $1,096.48 | Professional | None | $162.18 | $831.76 | $1,096.48 |
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 $117.49 Median $151.36 Typical High $223.87 | Professional | None | $117.49 | $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 $57.54 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $57.54 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $30.90 Typical High $47.86 | Professional | 53 · Discontinued | $22.91 | $30.90 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $117.49 Typical High $177.83 | Professional | 54 · Surgery only | $87.10 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.44 Typical High $36.31 | Professional | 55 · Aftercare only | $17.38 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $15.49 Typical High $23.99 | Professional | 56 · Pre-op care only | $11.48 | $15.49 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $109.65 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $81.28 | $109.65 | $165.96 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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
$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.