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 $3,162.28 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,162.28 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,089.30 | $2,754.23 | $3,388.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $2,041.74 | Facility | None | $446.68 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,951.21 | $4,365.16 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,570.88 | Facility | None | $54.95 | $1,000.00 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $15,488.17 | Professional | None | $2,089.30 | $2,754.23 | $15,488.17 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,995.26 | $2,691.53 | $3,890.45 |
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 $1,047.13 Median $1,380.38 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,047.13 | $1,380.38 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $549.54 Typical High $676.08 | Professional | 53 · Discontinued | $416.87 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $2,041.74 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,584.89 | $2,041.74 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $407.38 Typical High $501.19 | Professional | 55 · Aftercare only | $316.23 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $275.42 Typical High $338.84 | Professional | 56 · Pre-op care only | $208.93 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,905.46 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,905.46 | $2,344.23 |
Where Kansas sits
The same service costs 22.9 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
$2,692
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.