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 $5,128.61 Typical High $10,715.19 | Facility | None | $2,570.40 | $5,128.61 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,548.13 Typical High $4,365.16 | Professional | None | $2,818.38 | $3,548.13 | $4,365.16 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,897.79 Typical High $5,011.87 | Facility | None | $794.33 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $4,897.79 | Professional | None | $3,090.30 | $4,897.79 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $13,182.57 | Facility | None | $1,258.93 | $3,388.44 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $20,892.96 | Professional | None | $2,818.38 | $3,630.78 | $20,892.96 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,691.53 | $3,388.44 | $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 $1,412.54 Median $1,778.28 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,412.54 | $1,778.28 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $707.95 Typical High $870.96 | Professional | 53 · Discontinued | $575.44 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,630.27 Typical High $3,235.94 | Professional | 54 · Surgery only | $2,137.96 | $2,630.27 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $524.81 Typical High $660.69 | Professional | 55 · Aftercare only | $426.58 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $354.81 Typical High $436.52 | Professional | 56 · Pre-op care only | $281.84 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,454.71 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,454.71 | $3,019.95 |
Where Kansas sits
The same service costs 19.5 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
$4,169
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.