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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,258.93 | Professional | None | $812.83 | $1,000.00 | $1,258.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,513.56 Typical High $1,737.80 | Facility | None | $602.56 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,445.44 | Professional | None | $954.99 | $1,148.15 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,737.80 Typical High $26,302.68 | Facility | None | $891.25 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $6,918.31 | Professional | None | $891.25 | $977.24 | $6,918.31 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,621.81 | Professional | None | $891.25 | $977.24 | $1,621.81 |
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 $407.38 Median $501.19 Typical High $630.96 | Professional | 52 · Reduced service | $407.38 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $199.53 Typical High $251.19 | Professional | 53 · Discontinued | $162.18 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $758.58 Typical High $954.99 | Professional | 54 · Surgery only | $602.56 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | 55 · Aftercare only | $123.03 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $100.00 Typical High $125.89 | Professional | 56 · Pre-op care only | $81.28 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $707.95 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $562.34 | $707.95 | $891.25 |
Where Kansas sits
The same service costs 7.1 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· 17th of 51
$1,349
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.