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 $2,570.40 Median $4,897.79 Typical High $10,715.19 | Facility | None | $2,570.40 | $4,897.79 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $3,630.78 | Professional | None | $2,344.23 | $2,884.03 | $3,630.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $1,548.82 | Facility | None | $794.33 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $4,168.69 | Professional | None | $2,818.38 | $3,311.31 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,995.26 Typical High $4,073.80 | Facility | None | $549.54 | $1,995.26 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $19,952.62 | Professional | None | $2,691.53 | $2,818.38 | $19,952.62 |
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 $2,691.53 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,691.53 | $2,818.38 | $4,677.35 |
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 $1,174.90 Median $1,445.44 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,174.90 | $1,445.44 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $575.44 Typical High $724.44 | Professional | 53 · Discontinued | $467.74 | $575.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,137.96 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,737.80 | $2,137.96 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $436.52 Typical High $549.54 | Professional | 55 · Aftercare only | $354.81 | $436.52 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $288.40 Typical High $363.08 | Professional | 56 · Pre-op care only | $234.42 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,995.26 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,995.26 | $2,511.89 |
Where Kansas sits
The same service costs 15.8 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· 29th of 51
$2,818
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.