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 $2,089.30 Median $2,630.27 Typical High $2,818.38 | Facility | None | $2,089.30 | $2,630.27 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,348.96 | $2,089.30 | $2,630.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,818.38 | Professional | None | $2,290.87 | $2,290.87 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,174.90 | Facility | None | $676.08 | $1,023.29 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,235.94 | Professional | None | $1,621.81 | $2,238.72 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,511.89 Typical High $7,244.36 | Facility | None | $54.95 | $2,511.89 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $10,000.00 Typical High $12,302.69 | Professional | None | $2,041.74 | $10,000.00 | $12,302.69 |
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 $1,659.59 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,659.59 | $2,041.74 | $2,818.38 |
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 $676.08 Median $1,047.13 Typical High $1,318.26 | Professional | 52 · Reduced service | $676.08 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $416.87 Typical High $524.81 | Professional | 53 · Discontinued | $269.15 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $316.23 Typical High $398.11 | Professional | 55 · Aftercare only | $199.53 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $208.93 Typical High $263.03 | Professional | 56 · Pre-op care only | $134.90 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,479.11 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $933.25 | $1,479.11 | $1,862.09 |
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
$2,239
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.