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 $588.84 Median $741.31 Typical High $912.01 | Professional | None | $588.84 | $741.31 | $912.01 |
BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,905.46 | $1,905.46 |
BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,995.26 Typical High $2,238.72 | Facility | None | $602.56 | $1,995.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $912.01 | Professional | None | $630.96 | $794.33 | $912.01 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $26,302.68 | Facility | None | $741.31 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $4,365.16 | Professional | None | $588.84 | $776.25 | $4,365.16 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $954.99 | Professional | None | $575.44 | $676.08 | $954.99 |
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 $295.12 Median $371.54 Typical High $457.09 | Professional | 52 · Reduced service | $295.12 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $147.91 Typical High $181.97 | Professional | 53 · Discontinued | $117.49 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $446.68 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $89.13 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $74.13 Typical High $91.20 | Professional | 56 · Pre-op care only | $58.88 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $416.87 | $512.86 | $630.96 |
Where Kansas sits
The same service costs 8.1 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· 20th of 51
$891
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.