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 $645.65 Median $4,677.35 Typical High $9,549.93 | Facility | None | $645.65 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $645.65 | Professional | None | $309.03 | $467.74 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $616.60 | Professional | None | $467.74 | $467.74 | $616.60 |
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 $371.54 Median $501.19 Typical High $724.44 | Professional | None | $371.54 | $501.19 | $724.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $446.68 Typical High $1,445.44 | Facility | None | $54.95 | $446.68 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $3,548.13 | Professional | None | $457.09 | $549.54 | $3,548.13 |
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 $363.08 Median $478.63 Typical High $724.44 | Professional | None | $363.08 | $478.63 | $724.44 |
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 $154.88 Median $245.47 Typical High $316.23 | Professional | 52 · Reduced service | $154.88 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $61.66 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $363.08 Typical High $478.63 | Professional | 54 · Surgery only | $234.42 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $72.44 Typical High $95.50 | Professional | 55 · Aftercare only | $46.77 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $48.98 Typical High $64.57 | Professional | 56 · Pre-op care only | $30.90 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $338.84 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $218.78 | $338.84 | $446.68 |
Where Kansas sits
The same service costs 4.7 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· 23rd of 51
$490
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.