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 $123.03 Median $194.98 Typical High $338.84 | Professional | None | $123.03 | $194.98 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | None | $141.25 | $141.25 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,659.59 Typical High $1,698.24 | Facility | None | $389.05 | $1,659.59 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $245.47 | Professional | None | $112.20 | $169.82 | $245.47 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $891.25 Typical High $12,022.64 | Facility | None | $177.83 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $831.76 Typical High $1,318.26 | Professional | None | $181.97 | $831.76 | $1,318.26 |
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 $112.20 Median $169.82 Typical High $229.09 | Professional | None | $112.20 | $169.82 | $229.09 |
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 $61.66 Median $97.72 Typical High $169.82 | Professional | 52 · Reduced service | $61.66 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.90 Typical High $67.61 | Professional | 53 · Discontinued | $24.55 | $38.90 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $144.54 Typical High $257.04 | Professional | 54 · Surgery only | $93.33 | $144.54 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $28.84 Typical High $51.29 | Professional | 55 · Aftercare only | $18.62 | $28.84 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.50 Typical High $33.88 | Professional | 56 · Pre-op care only | $12.30 | $19.50 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $134.90 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $87.10 | $134.90 | $239.88 |
Where Kansas sits
The same service costs 4.8 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· 15th of 51
$219
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.