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 $1,819.70 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,348.96 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,318.26 Typical High $1,380.38 | Facility | None | $588.84 | $1,318.26 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $2,137.96 | Professional | None | $977.24 | $1,445.44 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,479.11 Typical High $5,128.61 | Facility | None | $54.95 | $1,479.11 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $7,585.78 | Professional | None | $1,047.13 | $1,230.27 | $7,585.78 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,230.27 | $1,905.46 |
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 $575.44 Median $676.08 Typical High $831.76 | Professional | 52 · Reduced service | $575.44 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | 53 · Discontinued | $234.42 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,000.00 Typical High $1,230.27 | Professional | 54 · Surgery only | $870.96 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $199.53 Typical High $245.47 | Professional | 55 · Aftercare only | $173.78 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $134.90 Typical High $165.96 | Professional | 56 · Pre-op care only | $117.49 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $933.25 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $812.83 | $933.25 | $1,148.15 |
Where Kansas sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$1,479
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.