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 $1,047.13 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,047.13 | $1,258.93 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,949.84 Typical High $2,041.74 | Facility | None | $691.83 | $1,949.84 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,445.44 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,089.30 Typical High $8,511.38 | Facility | None | $54.95 | $2,089.30 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $7,413.10 | Professional | None | $891.25 | $1,258.93 | $7,413.10 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,995.26 | Professional | None | $851.14 | $1,230.27 | $1,995.26 |
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 $524.81 Median $630.96 Typical High $812.83 | Professional | 52 · Reduced service | $524.81 | $630.96 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $251.19 Typical High $323.59 | Professional | 53 · Discontinued | $208.93 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $954.99 Typical High $1,230.27 | Professional | 54 · Surgery only | $794.33 | $954.99 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $190.55 Typical High $245.47 | Professional | 55 · Aftercare only | $158.49 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $125.89 Typical High $162.18 | Professional | 56 · Pre-op care only | $104.71 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $891.25 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $741.31 | $891.25 | $1,148.15 |
Where Kansas sits
The same service costs 6.6 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· 23rd of 51
$1,479
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.