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 $2,089.30 Median $4,786.30 Typical High $10,715.19 | Facility | None | $2,089.30 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,698.24 | $2,089.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,079.46 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,079.46 | $7,413.10 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,981.07 Typical High $4,168.69 | Facility | None | $707.95 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $3,090.30 | Professional | None | $1,479.11 | $2,884.03 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $7,585.78 | Facility | None | $54.95 | $2,187.76 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $12,589.25 | Professional | None | $1,445.44 | $1,862.09 | $12,589.25 |
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 $1,348.96 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,548.82 | $2,187.76 |
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 $660.69 Median $831.76 Typical High $1,047.13 | Professional | 52 · Reduced service | $660.69 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $263.03 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,258.93 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,000.00 | $1,258.93 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $251.19 Typical High $309.03 | Professional | 55 · Aftercare only | $199.53 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $169.82 Typical High $208.93 | Professional | 56 · Pre-op care only | $131.83 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,174.90 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $933.25 | $1,174.90 | $1,445.44 |
Where Kansas sits
The same service costs 15.1 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· 12th of 51
$2,455
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.