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 $6,165.95 Typical High $9,549.93 | Facility | None | $3,162.28 | $6,165.95 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,818.38 | $3,801.89 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
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 $2,570.40 Median $3,548.13 Typical High $4,570.88 | Professional | None | $2,570.40 | $3,548.13 | $4,570.88 |
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 $2,398.83 Median $3,630.78 Typical High $30,902.95 | Professional | None | $2,398.83 | $3,630.78 | $30,902.95 |
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 $2,398.83 Median $3,630.78 Typical High $5,011.87 | Professional | None | $2,398.83 | $3,630.78 | $5,011.87 |
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 $1,412.54 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,412.54 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,818.38 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,137.96 | $2,818.38 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $426.58 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $281.84 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,630.27 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,630.27 | $2,691.53 |
Where Kansas sits
The same service costs 6.9 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· 17th of 51
$3,388
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.