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 $2,951.21 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,951.21 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,951.21 | $2,951.21 |
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 $1,949.84 Median $2,754.23 Typical High $3,890.45 | Professional | None | $1,949.84 | $2,754.23 | $3,890.45 |
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 $1,949.84 Median $2,818.38 Typical High $23,442.29 | Professional | None | $1,949.84 | $2,818.38 | $23,442.29 |
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 $1,905.46 Median $2,818.38 Typical High $3,801.89 | Professional | None | $1,905.46 | $2,818.38 | $3,801.89 |
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 $1,096.48 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,096.48 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $446.68 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $2,187.76 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,659.59 | $2,187.76 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $436.52 Typical High $446.68 | Professional | 55 · Aftercare only | $331.13 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $223.87 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $2,041.74 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,548.82 | $2,041.74 | $2,089.30 |
Where Kansas sits
The same service costs 5.9 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· 18th of 51
$2,754
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.