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 $2,570.40 Median $4,786.30 Typical High $10,715.19 | Facility | None | $2,570.40 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,570.40 | Professional | None | $1,621.81 | $2,041.74 | $2,570.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
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 $691.83 Median $5,011.87 Typical High $5,248.07 | Facility | None | $691.83 | $5,011.87 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,630.27 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,454.71 Typical High $10,964.78 | Facility | None | $54.95 | $2,454.71 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $16,218.10 | Professional | None | $1,819.70 | $2,290.87 | $16,218.10 |
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 $1,659.59 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,949.84 | $2,754.23 |
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 $812.83 Median $1,023.29 Typical High $1,258.93 | Professional | 52 · Reduced service | $812.83 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $407.38 Typical High $512.86 | Professional | 53 · Discontinued | $331.13 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,548.82 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,230.27 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $309.03 Typical High $380.19 | Professional | 55 · Aftercare only | $245.47 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $204.17 Typical High $257.04 | Professional | 56 · Pre-op care only | $162.18 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,445.44 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,445.44 | $1,778.28 |
Where Kansas sits
The same service costs 20.4 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· 17th 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.