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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,148.15 | Professional | None | $794.33 | $912.01 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
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 $776.25 Median $1,148.15 Typical High $1,737.80 | Professional | None | $776.25 | $1,148.15 | $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 $831.76 Median $954.99 Typical High $5,888.44 | Professional | None | $831.76 | $954.99 | $5,888.44 |
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 $812.83 Median $891.25 Typical High $1,513.56 | Professional | None | $812.83 | $891.25 | $1,513.56 |
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 $389.05 Median $457.09 Typical High $575.44 | Professional | 52 · Reduced service | $389.05 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | 53 · Discontinued | $158.49 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $691.83 Typical High $870.96 | Professional | 54 · Surgery only | $588.84 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | 55 · Aftercare only | $117.49 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $79.43 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $645.65 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $549.54 | $645.65 | $812.83 |
Where Kansas sits
The same service costs 6.2 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· 23rd 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.