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 $6,309.57 Typical High $9,549.93 | Facility | None | $3,162.28 | $6,309.57 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $5,754.40 Typical High $5,754.40 | Professional | None | $4,265.80 | $5,754.40 | $5,754.40 |
BCBS Kansas Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $2,041.74 | Facility | None | $446.68 | $602.56 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $5,011.87 Typical High $6,456.54 | Professional | None | $3,890.45 | $5,011.87 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $6,309.57 | Facility | None | $54.95 | $1,000.00 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $3,981.07 Median $5,495.41 Typical High $24,547.09 | Professional | None | $3,981.07 | $5,495.41 | $24,547.09 |
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 $3,981.07 Median $5,495.41 Typical High $7,585.78 | Professional | None | $3,981.07 | $5,495.41 | $7,585.78 |
4 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 $2,137.96 Median $2,884.03 Typical High $2,884.03 | Professional | 52 · Reduced service | $2,137.96 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $1,148.15 Typical High $1,148.15 | Professional | 53 · Discontinued | $851.14 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $4,265.80 Typical High $4,365.16 | Professional | 54 · Surgery only | $3,235.94 | $4,265.80 | $4,365.16 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $3,981.07 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $3,019.95 | $3,981.07 | $4,073.80 |
Where Kansas sits
The same service costs 7.6 times more in Alaska than in Arkansas. 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· 20th of 51
$4,786
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.