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 $891.25 Median $4,570.88 Typical High $8,912.51 | Facility | None | $891.25 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $398.11 | Professional | None | $208.93 | $309.03 | $398.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $870.96 Median $912.01 Typical High $912.01 | Facility | None | $870.96 | $912.01 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $1,778.28 | Facility | None | $602.56 | $1,621.81 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $467.74 | Professional | None | $208.93 | $295.12 | $467.74 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $912.01 Typical High $26,302.68 | Facility | None | $323.59 | $912.01 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $537.03 Typical High $2,089.30 | Professional | None | $245.47 | $537.03 | $2,089.30 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $457.09 | Professional | None | $213.80 | $263.03 | $457.09 |
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 $104.71 Median $154.88 Typical High $199.53 | Professional | 52 · Reduced service | $104.71 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $41.69 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $229.09 Typical High $295.12 | Professional | 54 · Surgery only | $154.88 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $45.71 Typical High $58.88 | Professional | 55 · Aftercare only | $31.62 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $30.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $20.89 | $30.90 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $213.80 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $144.54 | $213.80 | $275.42 |
Where Kansas sits
The same service costs 4.7 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· 11th of 51
$417
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.