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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,047.13 | Professional | None | $676.08 | $831.76 | $1,047.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,187.76 Typical High $2,290.87 | Facility | None | $676.08 | $2,187.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,023.29 | Professional | None | $724.44 | $954.99 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $8,912.51 | Facility | None | $54.95 | $2,187.76 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $5,011.87 | Professional | None | $707.95 | $891.25 | $5,011.87 |
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 $676.08 Median $776.25 Typical High $1,096.48 | Professional | None | $676.08 | $776.25 | $1,096.48 |
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 $338.84 Median $416.87 Typical High $524.81 | Professional | 52 · Reduced service | $338.84 | $416.87 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $169.82 Typical High $208.93 | Professional | 53 · Discontinued | $134.90 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $630.96 Typical High $776.25 | Professional | 54 · Surgery only | $512.86 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $125.89 Typical High $154.88 | Professional | 55 · Aftercare only | $102.33 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | 56 · Pre-op care only | $67.61 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $588.84 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $478.63 | $588.84 | $724.44 |
Where Kansas sits
The same service costs 16.6 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· 23rd of 51
$933
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.