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 $1,737.80 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,737.80 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,288.25 | Professional | None | $831.76 | $1,047.13 | $1,288.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $794.33 Median $1,148.15 Typical High $1,737.80 | Professional | None | $794.33 | $1,148.15 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,466.84 | Facility | None | $54.95 | $1,000.00 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $5,888.44 | Professional | None | $891.25 | $1,071.52 | $5,888.44 |
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 $851.14 Median $1,047.13 Typical High $1,513.56 | Professional | None | $851.14 | $1,047.13 | $1,513.56 |
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 $407.38 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $407.38 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $165.96 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $977.24 | Professional | 54 · Surgery only | $616.60 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $194.98 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $104.71 Typical High $128.82 | Professional | 56 · Pre-op care only | $83.18 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $741.31 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $575.44 | $741.31 | $912.01 |
Where Kansas sits
The same service costs 6.2 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· 27th of 51
$1,096
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.