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 $5,495.41 Typical High $9,549.93 | Facility | None | $2,089.30 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,698.24 | $2,089.30 |
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,981.07 Typical High $4,073.80 | Facility | None | $691.83 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,513.56 | $1,995.26 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,238.72 Typical High $10,232.93 | Facility | None | $54.95 | $2,238.72 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $14,791.08 | Professional | None | $1,348.96 | $1,737.80 | $14,791.08 |
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 $1,288.25 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,288.25 | $1,621.81 | $2,290.87 |
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 $676.08 Median $851.14 Typical High $1,047.13 | Professional | 52 · Reduced service | $676.08 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $275.42 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,288.25 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,023.29 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $257.04 Typical High $316.23 | Professional | 55 · Aftercare only | $204.17 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $169.82 Typical High $208.93 | Professional | 56 · Pre-op care only | $138.04 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,202.26 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $954.99 | $1,202.26 | $1,479.11 |
Where Kansas sits
The same service costs 17.0 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· 21st of 51
$1,995
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.