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 $1,949.84 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,905.46 | Professional | None | $1,230.27 | $1,380.38 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,202.26 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,621.81 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $3,090.30 | Facility | None | $54.95 | $1,000.00 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $8,511.38 | Professional | None | $1,202.26 | $2,398.83 | $8,511.38 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $3,311.31 | Facility | None | $501.19 | $1,023.29 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,412.54 | $1,995.26 |
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 $616.60 Median $691.83 Typical High $954.99 | Professional | 52 · Reduced service | $616.60 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $275.42 Typical High $380.19 | Professional | 53 · Discontinued | $245.47 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,047.13 Typical High $1,412.54 | Professional | 54 · Surgery only | $912.01 | $1,047.13 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $208.93 Typical High $281.84 | Professional | 55 · Aftercare only | $186.21 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $138.04 Typical High $190.55 | Professional | 56 · Pre-op care only | $123.03 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $977.24 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $851.14 | $977.24 | $1,318.26 |
Where Kansas sits
The same service costs 5.5 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· 23rd of 51
$1,514
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.