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 $1,348.96 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,348.96 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,230.27 | Professional | None | $602.56 | $933.25 | $1,230.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Professional | None | $851.14 | $851.14 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $3,981.07 Typical High $4,073.80 | Facility | None | $912.01 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,258.93 | Professional | None | $724.44 | $977.24 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $2,238.72 Typical High $26,302.68 | Facility | None | $933.25 | $2,238.72 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $10,000.00 | Professional | None | $812.83 | $1,047.13 | $10,000.00 |
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 $691.83 Median $851.14 Typical High $1,230.27 | Professional | None | $691.83 | $851.14 | $1,230.27 |
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 $302.00 Median $467.74 Typical High $602.56 | Professional | 52 · Reduced service | $302.00 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $190.55 Typical High $245.47 | Professional | 53 · Discontinued | $120.23 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $707.95 Typical High $912.01 | Professional | 54 · Surgery only | $446.68 | $707.95 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $141.25 Typical High $181.97 | Professional | 55 · Aftercare only | $91.20 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $93.33 Typical High $123.03 | Professional | 56 · Pre-op care only | $60.26 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $660.69 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $416.87 | $660.69 | $851.14 |
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· 24th of 51
$955
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.