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 $114.82 Median $186.21 Typical High $295.12 | Professional | None | $114.82 | $186.21 | $295.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
BCBS Kansas Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $316.23 | Professional | None | $190.55 | $190.55 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $218.78 Typical High $676.08 | Facility | None | $194.98 | $218.78 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $354.81 | Professional | None | $128.82 | $213.80 | $354.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $562.34 Typical High $3,162.28 | Facility | None | $54.95 | $562.34 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $426.58 Typical High $1,584.89 | Professional | None | $213.80 | $426.58 | $1,584.89 |
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 $138.04 Median $208.93 Typical High $316.23 | Professional | None | $138.04 | $208.93 | $316.23 |
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 $56.23 Median $93.33 Typical High $147.91 | Professional | 52 · Reduced service | $56.23 | $93.33 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $37.15 Typical High $58.88 | Professional | 53 · Discontinued | $22.91 | $37.15 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $141.25 Typical High $223.87 | Professional | 54 · Surgery only | $85.11 | $141.25 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $28.18 Typical High $44.67 | Professional | 55 · Aftercare only | $16.98 | $28.18 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $18.62 Typical High $29.51 | Professional | 56 · Pre-op care only | $11.48 | $18.62 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $131.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $79.43 | $131.83 | $208.93 |
Where Kansas sits
The same service costs 3.9 times more in Oklahoma 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· 21st of 51
$251
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.