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 $4,570.88 Typical High $8,912.51 | Facility | None | $2,089.30 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,348.96 | $1,659.59 | $2,089.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,370.32 | $5,623.41 | $5,623.41 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $6,025.60 Typical High $6,760.83 | Facility | None | $602.56 | $6,025.60 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,445.44 | $1,862.09 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $8,709.64 | Facility | None | $1,000.00 | $2,089.30 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,621.81 Typical High $9,772.37 | Professional | None | $912.01 | $1,621.81 | $9,772.37 |
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 $831.76 Median $1,584.89 Typical High $2,187.76 | Professional | None | $831.76 | $1,584.89 | $2,187.76 |
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 $831.76 Typical High $1,047.13 | Professional | 52 · Reduced service | $676.08 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $269.15 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,258.93 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,023.29 | $1,258.93 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $251.19 Typical High $309.03 | Professional | 55 · Aftercare only | $204.17 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | 56 · Pre-op care only | $134.90 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,174.90 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $954.99 | $1,174.90 | $1,445.44 |
Where Kansas sits
The same service costs 8.9 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
$1,862
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.