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 $1,949.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,258.93 | $1,584.89 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,897.79 Typical High $5,011.87 | Facility | None | $645.65 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,862.09 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $26,302.68 | Facility | None | $831.76 | $2,454.71 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $7,413.10 | Professional | None | $1,174.90 | $1,479.11 | $7,413.10 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,202.26 | $1,778.28 |
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 $794.33 | Professional | 52 · Reduced service | $512.86 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $257.04 Typical High $316.23 | Professional | 53 · Discontinued | $204.17 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $954.99 Typical High $1,174.90 | Professional | 54 · Surgery only | $776.25 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $190.55 Typical High $234.42 | Professional | 55 · Aftercare only | $154.88 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $125.89 Typical High $158.49 | Professional | 56 · Pre-op care only | $102.33 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $891.25 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $724.44 | $891.25 | $1,096.48 |
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· 14th of 51
$1,698
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.