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 $4,073.80 Median $4,570.88 Typical High $6,309.57 | Professional | None | $4,073.80 | $4,570.88 | $6,309.57 |
BCBS Kansas Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
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 $3,890.45 Median $5,495.41 Typical High $7,079.46 | Professional | None | $3,890.45 | $5,495.41 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $6,309.57 | Facility | None | $54.95 | $1,000.00 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $3,981.07 Median $8,128.31 Typical High $28,840.32 | Professional | None | $3,981.07 | $8,128.31 | $28,840.32 |
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 $3,801.89 Median $4,786.30 Typical High $6,606.93 | Professional | None | $3,801.89 | $4,786.30 | $6,606.93 |
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 $2,041.74 Median $2,290.87 Typical High $3,162.28 | Professional | 52 · Reduced service | $2,041.74 | $2,290.87 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $912.01 Typical High $1,258.93 | Professional | 53 · Discontinued | $812.83 | $912.01 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,467.37 Typical High $4,786.30 | Professional | 54 · Surgery only | $3,090.30 | $3,467.37 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $691.83 Typical High $954.99 | Professional | 55 · Aftercare only | $616.60 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $457.09 Typical High $630.96 | Professional | 56 · Pre-op care only | $407.38 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $3,235.94 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,884.03 | $3,235.94 | $4,466.84 |
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· 22nd of 51
$4,898
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.