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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,202.26 | Professional | None | $776.25 | $977.24 | $1,202.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,073.80 | $4,265.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $4,897.79 Typical High $5,011.87 | Facility | None | $562.34 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,174.90 | Professional | None | $812.83 | $1,122.02 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $2,398.83 Typical High $16,218.10 | Facility | None | $776.25 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $7,244.36 | Professional | None | $812.83 | $1,023.29 | $7,244.36 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,258.93 | Professional | None | $776.25 | $891.25 | $1,258.93 |
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 $389.05 Median $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $389.05 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $194.98 Typical High $239.88 | Professional | 53 · Discontinued | $154.88 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $724.44 Typical High $891.25 | Professional | 54 · Surgery only | $588.84 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $144.54 Typical High $177.83 | Professional | 55 · Aftercare only | $117.49 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $97.72 Typical High $120.23 | Professional | 56 · Pre-op care only | $77.62 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $676.08 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $549.54 | $676.08 | $831.76 |
Where Kansas sits
The same service costs 18.2 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· 20th of 51
$1,148
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.