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 $2,187.76 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,570.40 | $3,311.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $2,137.96 Median $2,818.38 Typical High $4,365.16 | Professional | None | $2,137.96 | $2,818.38 | $4,365.16 |
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 $2,089.30 Median $2,630.27 Typical High $15,135.61 | Professional | None | $2,089.30 | $2,630.27 | $15,135.61 |
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 $2,041.74 Median $2,570.40 Typical High $4,073.80 | Professional | None | $2,041.74 | $2,570.40 | $4,073.80 |
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 $1,071.52 Median $1,288.25 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,071.52 | $1,288.25 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $512.86 Typical High $660.69 | Professional | 53 · Discontinued | $436.52 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,949.84 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,621.81 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $389.05 Typical High $501.19 | Professional | 55 · Aftercare only | $323.59 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $257.04 Typical High $331.13 | Professional | 56 · Pre-op care only | $218.78 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,819.70 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,819.70 | $2,344.23 |
Where Kansas sits
The same service costs 8.1 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
$2,570
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.