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 $1,905.46 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,905.46 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,348.96 | Professional | None | $912.01 | $1,096.48 | $1,348.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,445.44 Typical High $1,584.89 | Facility | None | $676.08 | $1,445.44 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,348.96 | Professional | None | $954.99 | $1,202.26 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $3,090.30 | Facility | None | $54.95 | $1,000.00 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $6,456.54 | Professional | None | $812.83 | $1,096.48 | $6,456.54 |
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 $776.25 Median $1,023.29 Typical High $1,412.54 | Professional | None | $776.25 | $1,023.29 | $1,412.54 |
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 $457.09 Median $549.54 Typical High $676.08 | Professional | 52 · Reduced service | $457.09 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $181.97 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $812.83 Typical High $1,023.29 | Professional | 54 · Surgery only | $676.08 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $134.90 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $109.65 Typical High $134.90 | Professional | 56 · Pre-op care only | $91.20 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $758.58 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $630.96 | $758.58 | $954.99 |
Where Kansas sits
The same service costs 7.6 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· 26th of 51
$1,122
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.