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 $1,348.96 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,348.96 | Professional | None | $741.31 | $1,071.52 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,230.27 Median $2,187.76 Typical High $2,290.87 | Facility | None | $1,230.27 | $2,187.76 | $2,290.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,348.96 | Professional | None | $1,174.90 | $1,174.90 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,479.11 Typical High $1,548.82 | Facility | None | $562.34 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,513.56 | Professional | None | $870.96 | $1,023.29 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,380.38 Typical High $16,218.10 | Facility | None | $562.34 | $1,380.38 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $7,413.10 | Professional | None | $977.24 | $1,148.15 | $7,413.10 |
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 $870.96 Median $1,023.29 Typical High $1,584.89 | Professional | None | $870.96 | $1,023.29 | $1,584.89 |
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 $363.08 Median $537.03 Typical High $676.08 | Professional | 52 · Reduced service | $363.08 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $213.80 Typical High $269.15 | Professional | 53 · Discontinued | $147.91 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $812.83 Typical High $1,023.29 | Professional | 54 · Surgery only | $549.54 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $109.65 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $107.15 Typical High $134.90 | Professional | 56 · Pre-op care only | $74.13 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $758.58 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $512.86 | $758.58 | $954.99 |
Where Kansas sits
The same service costs 4.4 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· 15th of 51
$1,230
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.