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 $2,187.76 Median $4,786.30 Typical High $10,715.19 | Facility | None | $2,187.76 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,778.28 | $2,187.76 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $1,584.89 Median $3,019.95 Typical High $3,388.44 | Professional | None | $1,584.89 | $3,019.95 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $8,317.64 | Facility | None | $54.95 | $2,187.76 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $13,489.63 | Professional | None | $1,513.56 | $1,905.46 | $13,489.63 |
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 $1,412.54 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,659.59 | $2,344.23 |
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 $707.95 Median $891.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $707.95 | $891.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $354.81 Typical High $436.52 | Professional | 53 · Discontinued | $281.84 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $269.15 Typical High $331.13 | Professional | 55 · Aftercare only | $208.93 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $177.83 Typical High $218.78 | Professional | 56 · Pre-op care only | $141.25 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,258.93 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $977.24 | $1,258.93 | $1,548.82 |
Where Kansas sits
The same service costs 17.8 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· 11th of 51
$2,512
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.