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 $3,162.28 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,162.28 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,715.35 | Professional | None | $2,398.83 | $2,884.03 | $3,715.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 $2,344.23 Median $3,162.28 Typical High $4,168.69 | Professional | None | $2,344.23 | $3,162.28 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,570.88 | Facility | None | $54.95 | $1,000.00 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $16,982.44 | Professional | None | $2,511.89 | $2,951.21 | $16,982.44 |
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 $2,511.89 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,511.89 | $2,818.38 | $4,570.88 |
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 $1,202.26 Median $1,445.44 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,202.26 | $1,445.44 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $575.44 Typical High $741.31 | Professional | 53 · Discontinued | $489.78 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,187.76 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,819.70 | $2,187.76 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $436.52 Typical High $562.34 | Professional | 55 · Aftercare only | $363.08 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $288.40 Typical High $371.54 | Professional | 56 · Pre-op care only | $239.88 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,041.74 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,041.74 | $2,630.27 |
Where Kansas sits
The same service costs 6.0 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· 27th of 51
$2,951
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.