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 $2,884.03 Median $6,456.54 Typical High $12,589.25 | Facility | None | $2,884.03 | $6,456.54 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,258.93 | Professional | None | $812.83 | $912.01 | $1,258.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $3,981.07 Typical High $4,168.69 | Facility | None | $912.01 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,412.54 | Professional | None | $831.76 | $1,148.15 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $4,168.69 Typical High $11,748.98 | Facility | None | $954.99 | $4,168.69 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,584.89 Typical High $8,317.64 | Professional | None | $812.83 | $1,584.89 | $8,317.64 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,318.26 | Professional | None | $776.25 | $933.25 | $1,318.26 |
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 $407.38 Median $457.09 Typical High $630.96 | Professional | 52 · Reduced service | $407.38 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $181.97 Typical High $251.19 | Professional | 53 · Discontinued | $162.18 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $691.83 Typical High $933.25 | Professional | 54 · Surgery only | $602.56 | $691.83 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $138.04 Typical High $186.21 | Professional | 55 · Aftercare only | $123.03 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $91.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $81.28 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $645.65 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $562.34 | $645.65 | $870.96 |
Where Kansas sits
The same service costs 25.1 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· 17th of 51
$1,122
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.