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 $181.97 Median $251.19 Typical High $398.11 | Professional | None | $181.97 | $251.19 | $398.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $147.91 Median $776.25 Typical High $812.83 | Facility | None | $147.91 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None | $251.19 | $251.19 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $389.05 | Facility | None | $151.36 | $158.49 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $281.84 | Professional | None | $165.96 | $204.17 | $281.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $323.59 Typical High $1,380.38 | Facility | None | $54.95 | $323.59 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $1,230.27 Typical High $2,344.23 | Professional | None | $208.93 | $1,230.27 | $2,344.23 |
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 $169.82 Median $218.78 Typical High $269.15 | Professional | None | $169.82 | $218.78 | $269.15 |
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 $91.20 Median $125.89 Typical High $199.53 | Professional | 52 · Reduced service | $91.20 | $125.89 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $50.12 Typical High $79.43 | Professional | 53 · Discontinued | $36.31 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $186.21 Typical High $295.12 | Professional | 54 · Surgery only | $134.90 | $186.21 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $37.15 Typical High $60.26 | Professional | 55 · Aftercare only | $27.54 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $25.12 Typical High $39.81 | Professional | 56 · Pre-op care only | $18.20 | $25.12 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $173.78 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $125.89 | $173.78 | $275.42 |
Where Kansas sits
The same service costs 4.0 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· 13th of 51
$282
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.