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 $1,862.09 Median $2,344.23 Typical High $2,511.89 | Facility | None | $1,862.09 | $2,344.23 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,862.09 | $2,344.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,258.93 | Facility | None | $676.08 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,479.11 | $1,995.26 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,398.83 Typical High $7,244.36 | Facility | None | $54.95 | $2,398.83 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $8,709.64 Typical High $10,964.78 | Professional | None | $1,778.28 | $8,709.64 | $10,964.78 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,778.28 | $2,511.89 |
5 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 $588.84 Median $933.25 Typical High $1,174.90 | Professional | 52 · Reduced service | $588.84 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $371.54 Typical High $467.74 | Professional | 53 · Discontinued | $239.88 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $281.84 Typical High $346.74 | Professional | 55 · Aftercare only | $177.83 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $186.21 Typical High $234.42 | Professional | 56 · Pre-op care only | $120.23 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,318.26 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $831.76 | $1,318.26 | $1,621.81 |
Where Kansas sits
The same service costs 5.1 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· 16th of 51
$1,995
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.