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 $4,786.30 Typical High $10,715.19 | Facility | None | $1,949.84 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,122.02 | $1,412.54 | $1,737.80 |
BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $3,801.89 | Facility | None | $2,511.89 | $3,630.78 | $3,801.89 |
BCBS 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 $794.33 Median $2,884.03 Typical High $2,951.21 | Facility | None | $794.33 | $2,884.03 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,995.26 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,148.15 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $8,317.64 | Professional | None | $1,288.25 | $1,584.89 | $8,317.64 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,318.26 | $1,905.46 |
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 $562.34 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $562.34 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $229.09 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,047.13 Typical High $1,318.26 | Professional | 54 · Surgery only | $851.14 | $1,047.13 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | 55 · Aftercare only | $169.82 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | 56 · Pre-op care only | $112.20 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $977.24 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $794.33 | $977.24 | $1,230.27 |
Where Kansas sits
The same service costs 19.5 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· 14th 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.