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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $234.42 | Professional | None | $112.20 | $162.18 | $234.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $117.49 Median $3,548.13 Typical High $3,715.35 | Facility | None | $117.49 | $3,548.13 | $3,715.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $114.82 Typical High $676.08 | Facility | None | $107.15 | $114.82 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $275.42 | Professional | None | $114.82 | $169.82 | $275.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $977.24 Typical High $3,890.45 | Facility | None | $54.95 | $977.24 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $1,258.93 | Professional | None | $151.36 | $323.59 | $1,258.93 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $251.19 | Professional | None | $125.89 | $158.49 | $251.19 |
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 $54.95 Median $81.28 Typical High $117.49 | Professional | 52 · Reduced service | $54.95 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $32.36 Typical High $46.77 | Professional | 53 · Discontinued | $22.39 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $123.03 Typical High $177.83 | Professional | 54 · Surgery only | $83.18 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $24.55 Typical High $35.48 | Professional | 55 · Aftercare only | $16.60 | $24.55 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.22 Typical High $23.44 | Professional | 56 · Pre-op care only | $11.22 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $114.82 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $77.62 | $114.82 | $165.96 |
Where Kansas sits
The same service costs 3.6 times more in Wisconsin 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· 17th of 51
$214
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.