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 $724.44 Median $912.01 Typical High $1,122.02 | Professional | None | $724.44 | $912.01 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,754.23 Typical High $2,884.03 | Facility | None | $707.95 | $2,754.23 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,122.02 | Professional | None | $776.25 | $1,096.48 | $1,122.02 |
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 $776.25 Median $954.99 Typical High $5,370.32 | Professional | None | $776.25 | $954.99 | $5,370.32 |
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 $707.95 Median $851.14 Typical High $1,174.90 | Professional | None | $707.95 | $851.14 | $1,174.90 |
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 $363.08 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $363.08 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $181.97 Typical High $223.87 | Professional | 53 · Discontinued | $144.54 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $676.08 Typical High $851.14 | Professional | 54 · Surgery only | $549.54 | $676.08 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $134.90 Typical High $169.82 | Professional | 55 · Aftercare only | $109.65 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $91.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $72.44 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $630.96 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $512.86 | $630.96 | $794.33 |
Where Kansas sits
The same service costs 7.6 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
$1,047
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.