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 $3,162.28 Median $5,495.41 Typical High $11,748.98 | Facility | None | $3,162.28 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,801.89 | Professional | None | $2,511.89 | $3,090.30 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $12,302.69 Typical High $12,589.25 | Facility | None | $707.95 | $12,302.69 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $4,073.80 | Professional | None | $2,691.53 | $3,801.89 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,890.45 Typical High $12,589.25 | Facility | None | $54.95 | $3,890.45 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $20,892.96 | Professional | None | $2,754.23 | $3,388.44 | $20,892.96 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $4,365.16 | Professional | None | $2,511.89 | $2,951.21 | $4,365.16 |
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 $1,230.27 Median $1,548.82 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,230.27 | $1,548.82 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $616.60 Typical High $758.58 | Professional | 53 · Discontinued | $501.19 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,290.87 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,862.09 | $2,290.87 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $457.09 Typical High $575.44 | Professional | 55 · Aftercare only | $371.54 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $309.03 Typical High $380.19 | Professional | 56 · Pre-op care only | $251.19 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,137.96 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,137.96 | $2,691.53 |
Where Kansas sits
The same service costs 25.7 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· 19th of 51
$3,802
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.