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 $190.55 Median $275.42 Typical High $426.58 | Professional | None | $190.55 | $275.42 | $426.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | None | $223.87 | $223.87 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $436.52 | Facility | None | $323.59 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $389.05 | Professional | None | $181.97 | $269.15 | $389.05 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $416.87 Typical High $12,022.64 | Facility | None | $162.18 | $416.87 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,348.96 Typical High $2,398.83 | Professional | None | $275.42 | $1,348.96 | $2,398.83 |
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 $190.55 Median $257.04 Typical High $371.54 | Professional | None | $190.55 | $257.04 | $371.54 |
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 $95.50 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $95.50 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $54.95 Typical High $85.11 | Professional | 53 · Discontinued | $38.02 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $208.93 Typical High $316.23 | Professional | 54 · Surgery only | $141.25 | $208.93 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $41.69 Typical High $64.57 | Professional | 55 · Aftercare only | $28.18 | $41.69 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $27.54 Typical High $42.66 | Professional | 56 · Pre-op care only | $19.05 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $131.83 | $194.98 | $295.12 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Texas. 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· 18th of 51
$302
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.