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 $2,041.74 Median $2,511.89 Typical High $2,754.23 | Facility | None | $2,041.74 | $2,511.89 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,318.26 | $2,041.74 | $2,511.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,691.53 | Professional | None | $2,238.72 | $2,238.72 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,737.80 Typical High $2,818.38 | Facility | None | $676.08 | $1,737.80 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,187.76 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,511.89 Typical High $7,585.78 | Facility | None | $54.95 | $2,511.89 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $9,549.93 Typical High $11,748.98 | Professional | None | $1,949.84 | $9,549.93 | $11,748.98 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,621.81 | $1,949.84 | $2,691.53 |
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 $645.65 Median $1,023.29 Typical High $1,258.93 | Professional | 52 · Reduced service | $645.65 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $407.38 Typical High $501.19 | Professional | 53 · Discontinued | $263.03 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $302.00 Typical High $371.54 | Professional | 55 · Aftercare only | $194.98 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $204.17 Typical High $251.19 | Professional | 56 · Pre-op care only | $131.83 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,412.54 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $912.01 | $1,412.54 | $1,737.80 |
Where Kansas sits
The same service costs 5.5 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· 15th 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.