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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $851.14 | Professional | None | $549.54 | $691.83 | $851.14 |
BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $676.08 | Facility | None | $446.68 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $831.76 | Professional | None | $588.84 | $794.33 | $831.76 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $26,302.68 | Facility | None | $398.11 | $912.01 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $4,265.80 | Professional | None | $575.44 | $707.95 | $4,265.80 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $549.54 Median $630.96 Typical High $891.25 | Professional | None | $549.54 | $630.96 | $891.25 |
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 $275.42 Median $346.74 Typical High $426.58 | Professional | 52 · Reduced service | $275.42 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $138.04 Typical High $169.82 | Professional | 53 · Discontinued | $109.65 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $416.87 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $102.33 Typical High $125.89 | Professional | 55 · Aftercare only | $83.18 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $69.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $54.95 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $478.63 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $389.05 | $478.63 | $588.84 |
Where Kansas sits
The same service costs 6.3 times more in Alaska than in Utah. 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
$759
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.