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 $3,162.28 Median $6,309.57 Typical High $9,549.93 | Facility | None | $3,162.28 | $6,309.57 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $4,073.80 Typical High $5,011.87 | Professional | None | $3,235.94 | $4,073.80 | $5,011.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $18,197.01 Typical High $19,054.61 | Facility | None | $707.95 | $18,197.01 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,623.41 Typical High $5,623.41 | Professional | None | $3,548.13 | $5,623.41 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $4,168.69 Typical High $12,589.25 | Facility | None | $54.95 | $4,168.69 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $3,388.44 Median $4,365.16 Typical High $26,915.35 | Professional | None | $3,388.44 | $4,365.16 | $26,915.35 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $5,370.32 | Professional | None | $3,311.31 | $3,890.45 | $5,370.32 |
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 $1,621.81 Median $2,041.74 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,621.81 | $2,041.74 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $660.69 Median $812.83 Typical High $1,000.00 | Professional | 53 · Discontinued | $660.69 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $3,019.95 Typical High $3,715.35 | Professional | 54 · Surgery only | $2,454.71 | $3,019.95 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $602.56 Typical High $758.58 | Professional | 55 · Aftercare only | $489.78 | $602.56 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $407.38 Typical High $501.19 | Professional | 56 · Pre-op care only | $323.59 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $2,818.38 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,818.38 | $3,467.37 |
Where Kansas sits
The same service costs 20.4 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
$5,012
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.