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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $933.25 | Professional | None | $602.56 | $676.08 | $933.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $870.96 Typical High $912.01 | Facility | None | $389.05 | $870.96 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,000.00 | Professional | None | $575.44 | $851.14 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $912.01 Typical High $3,630.78 | Facility | None | $54.95 | $912.01 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,148.15 Typical High $4,168.69 | Professional | None | $588.84 | $1,148.15 | $4,168.69 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $954.99 | Professional | None | $562.34 | $676.08 | $954.99 |
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 $302.00 Median $338.84 Typical High $467.74 | Professional | 52 · Reduced service | $302.00 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $186.21 | Professional | 53 · Discontinued | $120.23 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $512.86 Typical High $691.83 | Professional | 54 · Surgery only | $446.68 | $512.86 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $102.33 Typical High $138.04 | Professional | 55 · Aftercare only | $89.13 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $67.61 Typical High $93.33 | Professional | 56 · Pre-op care only | $60.26 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $478.63 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $416.87 | $478.63 | $645.65 |
Where Kansas sits
The same service costs 5.5 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
$851
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.