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 $1,698.24 Median $6,309.57 Typical High $13,803.84 | Facility | None | $1,698.24 | $6,309.57 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,000.00 | Professional | None | $537.03 | $812.83 | $1,000.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Professional | None | $1,174.90 | $1,174.90 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $2,951.21 | Facility | None | $1,122.02 | $2,630.27 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,096.48 | Professional | None | $660.69 | $891.25 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,479.11 Typical High $26,302.68 | Facility | None | $831.76 | $1,479.11 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $5,754.40 Typical High $5,754.40 | Professional | None | $794.33 | $5,754.40 | $5,754.40 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,096.48 | Professional | None | $645.65 | $794.33 | $1,096.48 |
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 $269.15 Median $398.11 Typical High $501.19 | Professional | 52 · Reduced service | $269.15 | $398.11 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $162.18 Typical High $199.53 | Professional | 53 · Discontinued | $107.15 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $602.56 Typical High $741.31 | Professional | 54 · Surgery only | $398.11 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $120.23 Typical High $147.91 | Professional | 55 · Aftercare only | $79.43 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $81.28 Typical High $100.00 | Professional | 56 · Pre-op care only | $53.70 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $562.34 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $371.54 | $562.34 | $691.83 |
Where Kansas sits
The same service costs 6.2 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· 14th of 51
$1,000
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.