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 $1,949.84 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,479.11 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $1,148.15 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,479.11 | $2,187.76 |
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 $977.24 Median $1,445.44 Typical High $8,912.51 | Professional | None | $977.24 | $1,445.44 | $8,912.51 |
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 $954.99 Median $1,412.54 Typical High $2,290.87 | Professional | None | $954.99 | $1,412.54 | $2,290.87 |
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 $602.56 Median $724.44 Typical High $933.25 | Professional | 52 · Reduced service | $602.56 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $295.12 Typical High $380.19 | Professional | 53 · Discontinued | $245.47 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,096.48 Typical High $1,412.54 | Professional | 54 · Surgery only | $912.01 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $218.78 Typical High $281.84 | Professional | 55 · Aftercare only | $181.97 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $147.91 Typical High $190.55 | Professional | 56 · Pre-op care only | $120.23 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,023.29 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $851.14 | $1,023.29 | $1,318.26 |
Where Kansas sits
The same service costs 5.6 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
$1,445
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.