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 $208.93 Median $2,691.53 Typical High $7,943.28 | Facility | None | $208.93 | $2,691.53 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $239.88 | Professional | None | $123.03 | $186.21 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $239.88 | Professional | None | $125.89 | $147.91 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $89.13 Median $281.84 Typical High $295.12 | Facility | None | $89.13 | $281.84 | $295.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None | $186.21 | $186.21 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $380.19 | Facility | None | $83.18 | $100.00 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $245.47 | Professional | None | $128.82 | $190.55 | $245.47 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $295.12 Typical High $1,096.48 | Facility | None | $54.95 | $295.12 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $870.96 Typical High $1,096.48 | Professional | None | $177.83 | $870.96 | $1,096.48 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $239.88 | Professional | None | $141.25 | $177.83 | $239.88 |
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 $61.66 Median $93.33 Typical High $120.23 | Professional | 52 · Reduced service | $61.66 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $37.15 Typical High $47.86 | Professional | 53 · Discontinued | $24.55 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $138.04 Typical High $177.83 | Professional | 54 · Surgery only | $91.20 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $27.54 Typical High $35.48 | Professional | 55 · Aftercare only | $18.20 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $18.62 Typical High $23.99 | Professional | 56 · Pre-op care only | $12.30 | $18.62 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $128.82 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $85.11 | $128.82 | $165.96 |
Where Kansas sits
The same service costs 3.9 times more in Alaska 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· 15th of 51
$195
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.