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 $512.86 Median $4,677.35 Typical High $9,549.93 | Facility | None | $512.86 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $512.86 | Professional | None | $190.55 | $302.00 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $380.19 | Professional | None | $213.80 | $213.80 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $676.08 | Facility | None | $346.74 | $489.78 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $478.63 | Professional | None | $190.55 | $302.00 | $478.63 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $457.09 Typical High $1,737.80 | Facility | None | $54.95 | $457.09 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,380.38 Typical High $2,290.87 | Professional | None | $275.42 | $1,380.38 | $2,290.87 |
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 $151.36 Median $229.09 Typical High $389.05 | Professional | None | $151.36 | $229.09 | $389.05 |
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 $151.36 Typical High $257.04 | Professional | 52 · Reduced service | $95.50 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $61.66 Typical High $102.33 | Professional | 53 · Discontinued | $38.02 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $229.09 Typical High $380.19 | Professional | 54 · Surgery only | $144.54 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $45.71 Typical High $75.86 | Professional | 55 · Aftercare only | $28.84 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $30.20 Typical High $51.29 | Professional | 56 · Pre-op care only | $19.05 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $213.80 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $134.90 | $213.80 | $354.81 |
Where Kansas sits
The same service costs 4.5 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
$355
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.