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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $741.31 | Professional | None | $346.74 | $489.78 | $741.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,981.07 Typical High $4,073.80 | Facility | None | $562.34 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $741.31 | Professional | None | $354.81 | $501.19 | $741.31 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,412.54 Typical High $16,218.10 | Facility | None | $562.34 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $2,454.71 Typical High $3,311.31 | Professional | None | $501.19 | $2,454.71 | $3,311.31 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $363.08 Median $467.74 Typical High $691.83 | Professional | None | $363.08 | $467.74 | $691.83 |
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 $169.82 Median $245.47 Typical High $371.54 | Professional | 52 · Reduced service | $169.82 | $245.47 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $97.72 Typical High $147.91 | Professional | 53 · Discontinued | $69.18 | $97.72 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $363.08 Typical High $562.34 | Professional | 54 · Surgery only | $257.04 | $363.08 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $72.44 Typical High $112.20 | Professional | 55 · Aftercare only | $51.29 | $72.44 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $48.98 Typical High $74.13 | Professional | 56 · Pre-op care only | $34.67 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $338.84 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $239.88 | $338.84 | $524.81 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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· 19th of 51
$550
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.