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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,202.26 | Professional | None | $812.83 | $954.99 | $1,202.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $812.83 Median $1,202.26 Typical High $1,737.80 | Professional | None | $812.83 | $1,202.26 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $977.24 Typical High $4,466.84 | Facility | None | $54.95 | $977.24 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $6,165.95 | Professional | None | $870.96 | $1,023.29 | $6,165.95 |
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 $851.14 Median $933.25 Typical High $1,548.82 | Professional | None | $851.14 | $933.25 | $1,548.82 |
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 $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $407.38 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $162.18 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $724.44 Typical High $891.25 | Professional | 54 · Surgery only | $616.60 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $123.03 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $81.28 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $676.08 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $575.44 | $676.08 | $831.76 |
Where Kansas sits
The same service costs 6.3 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· 28th of 51
$1,096
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.