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 $2,187.76 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,187.76 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,288.25 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $1,096.48 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,548.82 | $1,621.81 |
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 $1,096.48 Median $1,380.38 Typical High $8,511.38 | Professional | None | $1,096.48 | $1,380.38 | $8,511.38 |
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 $1,047.13 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,230.27 | $1,698.24 |
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 $524.81 Median $645.65 Typical High $812.83 | Professional | 52 · Reduced service | $524.81 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $263.03 Typical High $323.59 | Professional | 53 · Discontinued | $208.93 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $977.24 Typical High $1,202.26 | Professional | 54 · Surgery only | $794.33 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $194.98 Typical High $239.88 | Professional | 55 · Aftercare only | $158.49 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $128.82 Typical High $162.18 | Professional | 56 · Pre-op care only | $104.71 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $912.01 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $741.31 | $912.01 | $1,122.02 |
Where Kansas sits
The same service costs 18.2 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· 21st of 51
$1,549
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.