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 $114.82 Median $181.97 Typical High $288.40 | Professional | None | $114.82 | $181.97 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | None | $151.36 | $151.36 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $323.59 | Facility | None | $120.23 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $257.04 | Professional | None | $114.82 | $181.97 | $257.04 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $275.42 Typical High $1,288.25 | Facility | None | $54.95 | $275.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $812.83 Typical High $1,318.26 | Professional | None | $181.97 | $812.83 | $1,318.26 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $239.88 | Professional | None | $114.82 | $165.96 | $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 $91.20 Typical High $144.54 | Professional | 52 · Reduced service | $57.54 | $91.20 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $36.31 Typical High $57.54 | Professional | 53 · Discontinued | $22.91 | $36.31 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $138.04 Typical High $218.78 | Professional | 54 · Surgery only | $85.11 | $138.04 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $27.54 Typical High $43.65 | Professional | 55 · Aftercare only | $16.98 | $27.54 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $18.20 Typical High $28.84 | Professional | 56 · Pre-op care only | $11.48 | $18.20 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $128.82 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $79.43 | $128.82 | $204.17 |
Where Kansas sits
The same service costs 3.5 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· 15th 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.