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 $1,819.70 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,819.70 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,348.96 | Professional | None | $870.96 | $1,071.52 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,344.23 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $1,023.29 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,023.29 | $1,230.27 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,454.71 Typical High $26,302.68 | Facility | None | $812.83 | $2,454.71 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $7,413.10 | Professional | None | $1,000.00 | $1,047.13 | $7,413.10 |
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 $954.99 Median $1,047.13 Typical High $1,737.80 | Professional | None | $954.99 | $1,047.13 | $1,737.80 |
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 $436.52 Median $537.03 Typical High $676.08 | Professional | 52 · Reduced service | $436.52 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $218.78 Typical High $275.42 | Professional | 53 · Discontinued | $173.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $812.83 Typical High $1,023.29 | Professional | 54 · Surgery only | $660.69 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $162.18 Typical High $204.17 | Professional | 55 · Aftercare only | $131.83 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $107.15 Typical High $134.90 | Professional | 56 · Pre-op care only | $87.10 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $758.58 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $616.60 | $758.58 | $954.99 |
Where Kansas sits
The same service costs 8.3 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· 10th of 51
$1,862
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.