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 $1,023.29 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,023.29 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $758.58 Typical High $954.99 | Professional | None | $489.78 | $758.58 | $954.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $2,187.76 | Facility | None | $1,174.90 | $2,089.30 | $2,187.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $977.24 | Professional | None | $794.33 | $794.33 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,479.11 Typical High $1,548.82 | Facility | None | $645.65 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,047.13 | Professional | None | $575.44 | $707.95 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,071.52 Typical High $26,302.68 | Facility | None | $549.54 | $1,071.52 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $5,248.07 | Professional | None | $691.83 | $812.83 | $5,248.07 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,071.52 | Professional | None | $575.44 | $707.95 | $1,071.52 |
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 $245.47 Median $380.19 Typical High $478.63 | Professional | 52 · Reduced service | $245.47 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $151.36 Typical High $190.55 | Professional | 53 · Discontinued | $97.72 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $562.34 Typical High $707.95 | Professional | 54 · Surgery only | $371.54 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $112.20 Typical High $141.25 | Professional | 55 · Aftercare only | $74.13 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $75.86 Typical High $95.50 | Professional | 56 · Pre-op care only | $48.98 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $524.81 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $346.74 | $524.81 | $660.69 |
Where Kansas sits
The same service costs 4.3 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· 12th of 51
$955
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.