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 $1,949.84 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,288.25 | Professional | None | $977.24 | $1,288.25 | $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 $616.60 Median $851.14 Typical High $933.25 | Facility | None | $616.60 | $851.14 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,737.80 | Professional | None | $954.99 | $1,318.26 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $707.95 Typical High $2,754.23 | Facility | None | $54.95 | $707.95 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $7,413.10 | Professional | None | $912.01 | $1,380.38 | $7,413.10 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,737.80 | Professional | None | $891.25 | $1,380.38 | $1,737.80 |
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 $489.78 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $489.78 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $194.98 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $724.44 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $144.54 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $97.72 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $676.08 | $912.01 | $912.01 |
Where Kansas sits
The same service costs 4.4 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· 16th of 51
$1,288
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.