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 $2,884.03 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,884.03 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,137.96 | $2,630.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,897.79 Typical High $5,011.87 | Facility | None | $676.08 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,137.96 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,570.40 Typical High $9,549.93 | Facility | None | $54.95 | $2,570.40 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $14,454.40 | Professional | None | $1,621.81 | $2,187.76 | $14,454.40 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,584.89 | $2,041.74 | $2,884.03 |
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 $891.25 Median $1,071.52 Typical High $1,318.26 | Professional | 52 · Reduced service | $891.25 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $426.58 Typical High $537.03 | Professional | 53 · Discontinued | $363.08 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,621.81 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,348.96 | $1,621.81 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $323.59 Typical High $398.11 | Professional | 55 · Aftercare only | $269.15 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $213.80 Typical High $263.03 | Professional | 56 · Pre-op care only | $177.83 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,513.56 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,513.56 | $1,862.09 |
Where Kansas sits
The same service costs 11.2 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· 25th of 51
$2,188
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.