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 $3,162.28 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,162.28 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,238.72 | $2,818.38 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,981.07 Typical High $4,168.69 | Facility | None | $676.08 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,454.71 | $3,388.44 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,691.53 Typical High $10,964.78 | Facility | None | $54.95 | $2,691.53 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $24,547.09 | Professional | None | $2,137.96 | $2,818.38 | $24,547.09 |
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 $2,041.74 Median $2,691.53 Typical High $3,715.35 | Professional | None | $2,041.74 | $2,691.53 | $3,715.35 |
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 $1,122.02 Median $1,380.38 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,122.02 | $1,380.38 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $562.34 Typical High $691.83 | Professional | 53 · Discontinued | $446.68 | $562.34 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,089.30 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,698.24 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $416.87 Typical High $512.86 | Professional | 55 · Aftercare only | $338.84 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $281.84 Typical High $346.74 | Professional | 56 · Pre-op care only | $223.87 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,949.84 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,949.84 | $2,398.83 |
Where Kansas sits
The same service costs 21.4 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
$3,162
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.