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 $194.98 Median $245.47 Typical High $309.03 | Professional | None | $194.98 | $245.47 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | None | $309.03 | $309.03 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $645.65 | Facility | None | $104.71 | $117.49 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $380.19 | Professional | None | $173.78 | $239.88 | $380.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $977.24 Typical High $3,630.78 | Facility | None | $54.95 | $977.24 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $1,995.26 | Professional | None | $204.17 | $398.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $354.81 | Professional | None | $177.83 | $208.93 | $354.81 |
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 $97.72 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $97.72 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $147.91 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $29.51 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $24.55 Typical High $30.90 | Professional | 56 · Pre-op care only | $19.50 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $138.04 Median $173.78 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $138.04 | $173.78 | $213.80 |
Where Kansas sits
The same service costs 4.9 times more in Oklahoma than in Florida. 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· 14th of 51
$309
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.