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 $8,709.64 Median $8,709.64 Typical High $11,748.98 | Facility | None | $8,709.64 | $8,709.64 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $5,623.41 Median $6,918.31 Typical High $8,709.64 | Professional | None | $5,623.41 | $6,918.31 | $8,709.64 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $2,454.71 | Facility | None | $676.08 | $2,137.96 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $4,677.35 | Professional | None | $851.14 | $851.14 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,454.71 Typical High $11,748.98 | Facility | None | $54.95 | $2,454.71 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $25,118.86 | Professional | None | $2,137.96 | $3,715.35 | $25,118.86 |
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 $1,995.26 Median $3,715.35 Typical High $5,128.61 | Professional | None | $1,995.26 | $3,715.35 | $5,128.61 |
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 $2,818.38 Median $3,467.37 Typical High $4,365.16 | Professional | 52 · Reduced service | $2,818.38 | $3,467.37 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,122.02 Median $1,412.54 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,122.02 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $851.14 Median $1,047.13 Typical High $1,288.25 | Professional | 55 · Aftercare only | $851.14 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $562.34 Median $691.83 Typical High $870.96 | Professional | 56 · Pre-op care only | $562.34 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,981.07 Median $4,897.79 Typical High $6,025.60 | Professional | 78 · Unplanned return to OR | $3,981.07 | $4,897.79 | $6,025.60 |
Where Kansas sits
The same service costs 21.4 times more in Alaska than in Kentucky. 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· 27th of 51
$3,236
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.