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 $1,949.84 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,548.82 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $5,128.61 Typical High $5,248.07 | Facility | None | $676.08 | $5,128.61 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,949.84 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,089.30 Typical High $9,332.54 | Facility | None | $54.95 | $2,089.30 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $14,791.08 | Professional | None | $1,258.93 | $1,621.81 | $14,791.08 |
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 $1,230.27 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,479.11 | $1,995.26 |
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 $616.60 Median $776.25 Typical High $954.99 | Professional | 52 · Reduced service | $616.60 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $309.03 Typical High $380.19 | Professional | 53 · Discontinued | $251.19 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,174.90 Typical High $1,445.44 | Professional | 54 · Surgery only | $933.25 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $234.42 Typical High $288.40 | Professional | 55 · Aftercare only | $186.21 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $154.88 Typical High $190.55 | Professional | 56 · Pre-op care only | $125.89 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,096.48 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $870.96 | $1,096.48 | $1,348.96 |
Where Kansas sits
The same service costs 16.2 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· 21st of 51
$1,862
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.