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 $851.14 Median $1,047.13 Typical High $1,288.25 | Professional | None | $851.14 | $1,047.13 | $1,288.25 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,466.84 Typical High $5,011.87 | Facility | None | $741.31 | $4,466.84 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,288.25 | Professional | None | $891.25 | $1,258.93 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,047.13 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $6,165.95 | Professional | None | $870.96 | $1,122.02 | $6,165.95 |
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 $977.24 Typical High $1,380.38 | Professional | None | $831.76 | $977.24 | $1,380.38 |
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 $426.58 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $426.58 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $208.93 Typical High $263.03 | Professional | 53 · Discontinued | $169.82 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $794.33 Typical High $977.24 | Professional | 54 · Surgery only | $630.96 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $158.49 Typical High $194.98 | Professional | 55 · Aftercare only | $125.89 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | 56 · Pre-op care only | $85.11 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $741.31 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $588.84 | $741.31 | $912.01 |
Where Kansas sits
The same service costs 7.6 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· 21st of 51
$1,259
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.