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 $5,495.41 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,513.56 | Professional | None | $977.24 | $1,202.26 | $1,513.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $2,290.87 | Facility | None | $707.95 | $2,187.76 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,445.44 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,884.03 Typical High $10,715.19 | Facility | None | $54.95 | $2,884.03 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $7,079.46 | Professional | None | $1,000.00 | $1,288.25 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,025.60 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,025.60 | $18,197.01 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,584.89 | Professional | None | $977.24 | $1,148.15 | $1,584.89 |
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 $489.78 Median $602.56 Typical High $741.31 | Professional | 52 · Reduced service | $489.78 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $239.88 Typical High $302.00 | Professional | 53 · Discontinued | $194.98 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $912.01 Typical High $1,122.02 | Professional | 54 · Surgery only | $724.44 | $912.01 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $181.97 Typical High $223.87 | Professional | 55 · Aftercare only | $147.91 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $120.23 Typical High $151.36 | Professional | 56 · Pre-op care only | $97.72 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $851.14 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $676.08 | $851.14 | $1,047.13 |
Where Kansas sits
The same service costs 14.1 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
$1,380
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.