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 $2,691.53 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,691.53 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,584.89 | $1,995.26 |
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 $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 $1,380.38 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,380.38 | $1,862.09 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $8,317.64 | Facility | None | $54.95 | $2,187.76 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $9,549.93 | Professional | None | $1,348.96 | $1,698.24 | $9,549.93 |
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 $1,288.25 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,513.56 | $2,137.96 |
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 $645.65 Median $794.33 Typical High $977.24 | Professional | 52 · Reduced service | $645.65 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $316.23 Typical High $398.11 | Professional | 53 · Discontinued | $257.04 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,202.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $954.99 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $239.88 Typical High $295.12 | Professional | 55 · Aftercare only | $190.55 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $158.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $128.82 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,122.02 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $891.25 | $1,122.02 | $1,380.38 |
Where Kansas sits
The same service costs 17.8 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· 20th 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.