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 $154.88 Median $269.15 Typical High $512.86 | Professional | None | $154.88 | $269.15 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | None | $199.53 | $199.53 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $691.83 Typical High $758.58 | Facility | None | $512.86 | $691.83 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $416.87 | Professional | None | $138.04 | $269.15 | $416.87 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $912.01 Typical High $16,218.10 | Facility | None | $229.09 | $912.01 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $1,023.29 Typical High $2,884.03 | Professional | None | $288.40 | $1,023.29 | $2,884.03 |
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 $141.25 Median $263.03 Typical High $354.81 | Professional | None | $141.25 | $263.03 | $354.81 |
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 $77.62 Median $134.90 Typical High $257.04 | Professional | 52 · Reduced service | $77.62 | $134.90 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $53.70 Typical High $102.33 | Professional | 53 · Discontinued | $30.90 | $53.70 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $199.53 Typical High $380.19 | Professional | 54 · Surgery only | $114.82 | $199.53 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $40.74 Typical High $75.86 | Professional | 55 · Aftercare only | $22.91 | $40.74 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $26.92 Typical High $51.29 | Professional | 56 · Pre-op care only | $15.49 | $26.92 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $186.21 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $107.15 | $186.21 | $354.81 |
Where Kansas sits
The same service costs 4.7 times more in Alaska than in Virginia. 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· 9th of 51
$380
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.