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 $1,905.46 Median $2,454.71 Typical High $2,511.89 | Facility | None | $1,905.46 | $2,454.71 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,905.46 | $2,454.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,089.30 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $977.24 Typical High $1,148.15 | Facility | None | $676.08 | $977.24 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,479.11 | $2,041.74 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,511.89 Typical High $7,244.36 | Facility | None | $54.95 | $2,511.89 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $8,912.51 Typical High $11,748.98 | Professional | None | $1,862.09 | $8,912.51 | $11,748.98 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,862.09 | $2,630.27 |
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 $602.56 Median $954.99 Typical High $1,230.27 | Professional | 52 · Reduced service | $602.56 | $954.99 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $380.19 Typical High $489.78 | Professional | 53 · Discontinued | $245.47 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $288.40 Typical High $371.54 | Professional | 55 · Aftercare only | $181.97 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $190.55 Typical High $245.47 | Professional | 56 · Pre-op care only | $120.23 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,348.96 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $851.14 | $1,348.96 | $1,737.80 |
Where Kansas sits
The same service costs 5.1 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
$2,089
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.