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 $2,290.87 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,290.87 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,230.27 | $1,548.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $912.01 Median $1,348.96 Typical High $1,949.84 | Professional | None | $912.01 | $1,348.96 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,466.84 | Facility | None | $54.95 | $1,000.00 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $7,079.46 | Professional | None | $1,000.00 | $1,174.90 | $7,079.46 |
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 $977.24 Median $1,148.15 Typical High $1,737.80 | Professional | None | $977.24 | $1,148.15 | $1,737.80 |
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 $537.03 Median $616.60 Typical High $758.58 | Professional | 52 · Reduced service | $537.03 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $251.19 Typical High $309.03 | Professional | 53 · Discontinued | $213.80 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $933.25 Typical High $1,148.15 | Professional | 54 · Surgery only | $812.83 | $933.25 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $186.21 Typical High $229.09 | Professional | 55 · Aftercare only | $162.18 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | 56 · Pre-op care only | $107.15 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $758.58 | $870.96 | $1,071.52 |
Where Kansas sits
The same service costs 6.6 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· 28th of 51
$1,288
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.