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 $794.33 Median $977.24 Typical High $1,230.27 | Professional | None | $794.33 | $977.24 | $1,230.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,122.02 | $1,174.90 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $1,659.59 | Facility | None | $602.56 | $1,621.81 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,412.54 | Professional | None | $933.25 | $1,122.02 | $1,412.54 |
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 $954.99 Typical High $6,760.83 | Professional | None | $891.25 | $954.99 | $6,760.83 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,584.89 | Professional | None | $870.96 | $933.25 | $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 $398.11 Median $489.78 Typical High $616.60 | Professional | 52 · Reduced service | $398.11 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $194.98 Typical High $245.47 | Professional | 53 · Discontinued | $158.49 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $741.31 Typical High $933.25 | Professional | 54 · Surgery only | $602.56 | $741.31 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $147.91 Typical High $186.21 | Professional | 55 · Aftercare only | $120.23 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $691.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $562.34 | $691.83 | $870.96 |
Where Kansas sits
The same service costs 7.6 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· 21st of 51
$1,175
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.