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 $5,248.07 Typical High $9,549.93 | Facility | None | $3,162.28 | $5,248.07 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,890.45 | Professional | None | $2,511.89 | $3,019.95 | $3,890.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
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 $2,511.89 Median $3,548.13 Typical High $5,128.61 | Professional | None | $2,511.89 | $3,548.13 | $5,128.61 |
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 $3,090.30 Typical High $17,782.79 | Professional | None | $2,511.89 | $3,090.30 | $17,782.79 |
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 $2,951.21 Typical High $4,786.30 | Professional | None | $2,511.89 | $2,951.21 | $4,786.30 |
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 $1,258.93 Median $1,513.56 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,258.93 | $1,513.56 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $602.56 Typical High $776.25 | Professional | 53 · Discontinued | $501.19 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,290.87 Typical High $2,951.21 | Professional | 54 · Surgery only | $1,905.46 | $2,290.87 | $2,951.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $457.09 Typical High $588.84 | Professional | 55 · Aftercare only | $380.19 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $302.00 Typical High $389.05 | Professional | 56 · Pre-op care only | $251.19 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,137.96 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,137.96 | $2,754.23 |
Where Kansas sits
The same service costs 10.0 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· 28th of 51
$3,090
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.