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 $1,737.80 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,737.80 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,174.90 | Professional | None | $812.83 | $933.25 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,041.74 | Facility | None | $446.68 | $645.65 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,479.11 | Professional | None | $676.08 | $1,023.29 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,288.25 Typical High $4,466.84 | Facility | None | $54.95 | $1,288.25 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $6,165.95 | Professional | None | $758.58 | $870.96 | $6,165.95 |
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 $741.31 Median $870.96 Typical High $1,318.26 | Professional | None | $741.31 | $870.96 | $1,318.26 |
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 $407.38 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $407.38 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | 53 · Discontinued | $162.18 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $707.95 Typical High $870.96 | Professional | 54 · Surgery only | $616.60 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | 55 · Aftercare only | $123.03 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $81.28 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $660.69 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $575.44 | $660.69 | $812.83 |
Where Kansas sits
The same service costs 5.4 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· 18th of 51
$1,148
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.