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 $3,090.30 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,090.30 | $3,467.37 | $4,677.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $2,951.21 Median $4,365.16 Typical High $5,370.32 | Professional | None | $2,951.21 | $4,365.16 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,786.30 | Facility | None | $54.95 | $1,000.00 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $3,019.95 Median $5,623.41 Typical High $20,892.96 | Professional | None | $3,019.95 | $5,623.41 | $20,892.96 |
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 $2,818.38 Median $3,311.31 Typical High $4,677.35 | Professional | None | $2,818.38 | $3,311.31 | $4,677.35 |
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 $1,513.56 Median $1,698.24 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,513.56 | $1,698.24 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $691.83 Typical High $933.25 | Professional | 53 · Discontinued | $616.60 | $691.83 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,570.40 Typical High $3,548.13 | Professional | 54 · Surgery only | $2,290.87 | $2,570.40 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $512.86 Typical High $707.95 | Professional | 55 · Aftercare only | $457.09 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $346.74 Typical High $467.74 | Professional | 56 · Pre-op care only | $309.03 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,398.83 Typical High $3,311.31 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,398.83 | $3,311.31 |
Where Kansas sits
The same service costs 21.4 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· 25th of 51
$3,631
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.