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 $1,819.70 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,819.70 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,348.96 | Professional | None | $870.96 | $1,071.52 | $1,348.96 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $5,128.61 Typical High $5,754.40 | Facility | None | $602.56 | $5,128.61 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,348.96 | Professional | None | $933.25 | $1,288.25 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $3,981.07 Typical High $26,302.68 | Facility | None | $1,023.29 | $3,981.07 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $6,309.57 | Professional | None | $891.25 | $1,148.15 | $6,309.57 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,412.54 | Professional | None | $870.96 | $1,023.29 | $1,412.54 |
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 $436.52 Median $537.03 Typical High $676.08 | Professional | 52 · Reduced service | $436.52 | $537.03 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $173.78 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $660.69 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $131.83 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $107.15 Typical High $134.90 | Professional | 56 · Pre-op care only | $87.10 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $616.60 | $758.58 | $933.25 |
Where Kansas sits
The same service costs 8.1 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
$1,288
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.