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 $2,089.30 Median $6,309.57 Typical High $14,791.08 | Facility | None | $2,089.30 | $6,309.57 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,348.96 | $1,513.56 | $2,089.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $1,380.38 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,380.38 | $1,778.28 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,137.96 Typical High $7,585.78 | Facility | None | $54.95 | $2,137.96 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,691.53 Typical High $11,748.98 | Professional | None | $1,318.26 | $2,691.53 | $11,748.98 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,258.93 | $1,584.89 | $2,187.76 |
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 $676.08 Median $758.58 Typical High $1,047.13 | Professional | 52 · Reduced service | $676.08 | $758.58 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $302.00 Typical High $416.87 | Professional | 53 · Discontinued | $269.15 | $302.00 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,148.15 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,023.29 | $1,148.15 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $229.09 Typical High $316.23 | Professional | 55 · Aftercare only | $204.17 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $151.36 Typical High $208.93 | Professional | 56 · Pre-op care only | $134.90 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,071.52 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $954.99 | $1,071.52 | $1,479.11 |
Where Kansas sits
The same service costs 26.3 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· 21st of 51
$1,778
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.