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 $2,570.40 Median $5,128.61 Typical High $10,715.19 | Facility | None | $2,570.40 | $5,128.61 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,548.13 Typical High $4,365.16 | Professional | None | $2,818.38 | $3,548.13 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,011.87 Typical High $5,248.07 | Facility | None | $707.95 | $5,011.87 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $4,570.88 | Professional | None | $3,090.30 | $4,570.88 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,570.40 Typical High $7,585.78 | Facility | None | $54.95 | $2,570.40 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $32,359.37 | Professional | None | $3,090.30 | $3,801.89 | $32,359.37 |
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 $2,818.38 Median $3,311.31 Typical High $4,677.35 | Professional | None | $2,818.38 | $3,311.31 | $4,677.35 |
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 $1,412.54 Median $1,737.80 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,412.54 | $1,737.80 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $707.95 Typical High $870.96 | Professional | 53 · Discontinued | $562.34 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,630.27 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,089.30 | $2,630.27 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $524.81 Typical High $645.65 | Professional | 55 · Aftercare only | $416.87 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $354.81 Typical High $436.52 | Professional | 56 · Pre-op care only | $281.84 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,454.71 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,454.71 | $3,019.95 |
Where Kansas sits
The same service costs 20.9 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· 17th of 51
$4,074
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.