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 $2,754.23 Median $3,388.44 Typical High $3,715.35 | Facility | None | $2,754.23 | $3,388.44 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $3,388.44 | Professional | None | $1,778.28 | $2,754.23 | $3,388.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,548.13 | Professional | None | $3,019.95 | $3,019.95 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,737.80 Typical High $2,818.38 | Facility | None | $676.08 | $1,737.80 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,187.76 | $2,951.21 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,951.21 Typical High $8,317.64 | Facility | None | $54.95 | $2,951.21 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $13,182.57 Typical High $15,848.93 | Professional | None | $2,630.27 | $13,182.57 | $15,848.93 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $3,630.78 | Professional | None | $2,187.76 | $2,630.27 | $3,630.78 |
5 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 $891.25 Median $1,348.96 Typical High $1,698.24 | Professional | 52 · Reduced service | $891.25 | $1,348.96 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $549.54 Typical High $676.08 | Professional | 53 · Discontinued | $354.81 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $407.38 Typical High $501.19 | Professional | 55 · Aftercare only | $263.03 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $275.42 Typical High $338.84 | Professional | 56 · Pre-op care only | $177.83 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,905.46 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,905.46 | $2,344.23 |
Where Kansas sits
The same service costs 5.5 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
$2,884
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.