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 $2,137.96 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,023.29 | $1,258.93 | $1,548.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,128.31 | Facility | None | $7,762.47 | $8,128.31 | $8,128.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $8,511.38 Typical High $9,332.54 | Facility | None | $912.01 | $8,511.38 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,548.82 | $1,548.82 |
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 $1,071.52 Median $1,348.96 Typical High $7,413.10 | Professional | None | $1,071.52 | $1,348.96 | $7,413.10 |
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 $1,023.29 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,174.90 | $1,659.59 |
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 $512.86 Median $630.96 Typical High $776.25 | Professional | 52 · Reduced service | $512.86 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $251.19 Typical High $309.03 | Professional | 53 · Discontinued | $204.17 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $954.99 Typical High $1,174.90 | Professional | 54 · Surgery only | $758.58 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $190.55 Typical High $234.42 | Professional | 55 · Aftercare only | $151.36 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $125.89 Typical High $154.88 | Professional | 56 · Pre-op care only | $102.33 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $891.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $707.95 | $891.25 | $1,096.48 |
Where Kansas sits
The same service costs 8.5 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
$1,549
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.