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 $2,398.83 Median $4,786.30 Typical High $10,715.19 | Facility | None | $2,398.83 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,548.82 | $1,905.46 | $2,398.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,344.23 Typical High $2,691.53 | Facility | None | $741.31 | $2,344.23 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,089.30 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,630.27 Typical High $26,302.68 | Facility | None | $831.76 | $2,630.27 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $13,182.57 | Professional | None | $1,737.80 | $1,862.09 | $13,182.57 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,698.24 | $1,862.09 | $3,090.30 |
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 $776.25 Median $954.99 Typical High $1,202.26 | Professional | 52 · Reduced service | $776.25 | $954.99 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $380.19 Typical High $478.63 | Professional | 53 · Discontinued | $309.03 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,412.54 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,148.15 | $1,412.54 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $288.40 Typical High $363.08 | Professional | 55 · Aftercare only | $234.42 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | 56 · Pre-op care only | $154.88 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,318.26 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,318.26 | $1,659.59 |
Where Kansas sits
The same service costs 8.7 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· 16th of 51
$2,344
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.