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 $512.86 Median $4,677.35 Typical High $9,549.93 | Facility | None | $512.86 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $512.86 | Professional | None | $186.21 | $323.59 | $512.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $501.19 | Professional | None | $281.84 | $281.84 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $645.65 | Professional | None | $239.88 | $446.68 | $645.65 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $380.19 Typical High $1,318.26 | Facility | None | $54.95 | $380.19 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $3,981.07 | Professional | None | $416.87 | $489.78 | $3,981.07 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $549.54 | Professional | None | $234.42 | $389.05 | $549.54 |
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 $93.33 Median $147.91 Typical High $257.04 | Professional | 52 · Reduced service | $93.33 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $58.88 Typical High $102.33 | Professional | 53 · Discontinued | $37.15 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $223.87 Typical High $389.05 | Professional | 54 · Surgery only | $141.25 | $223.87 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $44.67 Typical High $77.62 | Professional | 55 · Aftercare only | $28.18 | $44.67 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $29.51 Typical High $51.29 | Professional | 56 · Pre-op care only | $18.62 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $208.93 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $131.83 | $208.93 | $363.08 |
Where Kansas sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 14th of 51
$417
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.