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 $204.17 Median $302.00 Typical High $467.74 | Professional | None | $204.17 | $302.00 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $467.74 | Professional | None | $190.55 | $309.03 | $467.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $239.88 Median $1,548.82 Typical High $1,621.81 | Facility | None | $239.88 | $1,548.82 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | None | $239.88 | $239.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $489.78 | Facility | None | $281.84 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | None | $204.17 | $295.12 | $436.52 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $436.52 Typical High $2,454.71 | Facility | None | $295.12 | $436.52 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,445.44 Typical High $2,089.30 | Professional | None | $275.42 | $1,445.44 | $2,089.30 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $398.11 | Professional | None | $194.98 | $257.04 | $398.11 |
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 $102.33 Median $151.36 Typical High $234.42 | Professional | 52 · Reduced service | $102.33 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $60.26 Typical High $93.33 | Professional | 53 · Discontinued | $40.74 | $60.26 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $229.09 Typical High $354.81 | Professional | 54 · Surgery only | $151.36 | $229.09 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $45.71 Typical High $70.79 | Professional | 55 · Aftercare only | $30.20 | $45.71 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $30.20 Typical High $46.77 | Professional | 56 · Pre-op care only | $20.42 | $30.20 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $213.80 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $141.25 | $213.80 | $331.13 |
Where Kansas sits
The same service costs 3.8 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· 19th of 51
$331
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.