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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $977.24 | Professional | None | $645.65 | $794.33 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,265.80 Median $8,511.38 Typical High $8,912.51 | Facility | None | $4,265.80 | $8,511.38 | $8,912.51 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $5,128.61 | Facility | None | $741.31 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $977.24 | Professional | None | $660.69 | $954.99 | $977.24 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $26,302.68 | Facility | None | $851.14 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $4,677.35 | Professional | None | $660.69 | $851.14 | $4,677.35 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,023.29 | Professional | None | $630.96 | $741.31 | $1,023.29 |
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 $316.23 Median $398.11 Typical High $489.78 | Professional | 52 · Reduced service | $316.23 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $194.98 | Professional | 53 · Discontinued | $128.82 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | 54 · Surgery only | $478.63 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $120.23 Typical High $147.91 | Professional | 55 · Aftercare only | $95.50 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $97.72 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $562.34 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $446.68 | $562.34 | $691.83 |
Where Kansas sits
The same service costs 8.3 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
$1,000
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.