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 $9,772.37 | Facility | None | $3,162.28 | $6,309.57 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $5,248.07 Typical High $7,244.36 | Professional | None | $4,677.35 | $5,248.07 | $7,244.36 |
BCBS Kansas Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,309.57 | $6,309.57 | $6,309.57 |
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 $4,570.88 Median $6,606.93 Typical High $8,511.38 | Professional | None | $4,570.88 | $6,606.93 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $7,943.28 | Facility | None | $54.95 | $1,000.00 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $4,677.35 Median $9,549.93 Typical High $31,622.78 | Professional | None | $4,677.35 | $9,549.93 | $31,622.78 |
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 $4,265.80 Median $5,495.41 Typical High $7,762.47 | Professional | None | $4,265.80 | $5,495.41 | $7,762.47 |
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 $2,344.23 Median $2,630.27 Typical High $3,630.78 | Professional | 52 · Reduced service | $2,344.23 | $2,630.27 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $1,047.13 Typical High $1,445.44 | Professional | 53 · Discontinued | $933.25 | $1,047.13 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $3,890.45 Typical High $5,370.32 | Professional | 54 · Surgery only | $3,467.37 | $3,890.45 | $5,370.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $794.33 Typical High $1,071.52 | Professional | 55 · Aftercare only | $707.95 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $524.81 Typical High $724.44 | Professional | 56 · Pre-op care only | $467.74 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $3,630.78 Typical High $5,011.87 | Professional | 78 · Unplanned return to OR | $3,235.94 | $3,630.78 | $5,011.87 |
Where Kansas sits
The same service costs 21.9 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· 24th of 51
$5,623
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.