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 $2,570.40 Median $5,754.40 Typical High $12,589.25 | Facility | None | $2,570.40 | $5,754.40 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,318.26 | $1,479.11 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $6,760.83 Typical High $7,079.46 | Facility | None | $676.08 | $6,760.83 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,778.28 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $6,606.93 Typical High $17,378.01 | Facility | None | $1,318.26 | $6,606.93 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,570.40 Typical High $9,120.11 | Professional | None | $1,318.26 | $2,570.40 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,548.82 | $2,137.96 |
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 $660.69 Median $741.31 Typical High $1,023.29 | Professional | 52 · Reduced service | $660.69 | $741.31 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $302.00 Typical High $407.38 | Professional | 53 · Discontinued | $263.03 | $302.00 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,122.02 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $223.87 Typical High $309.03 | Professional | 55 · Aftercare only | $199.53 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $147.91 Typical High $204.17 | Professional | 56 · Pre-op care only | $131.83 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,047.13 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $933.25 | $1,047.13 | $1,445.44 |
Where Kansas sits
The same service costs 25.7 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· 18th 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.