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 $4,786.30 Typical High $10,715.19 | Facility | None | $1,949.84 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,445.44 | $1,819.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $5,370.32 | Facility | None | $3,630.78 | $3,801.89 | $5,370.32 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $6,760.83 Typical High $6,918.31 | Facility | None | $794.33 | $6,760.83 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,258.93 | $2,137.96 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $3,981.07 Typical High $26,302.68 | Facility | None | $1,174.90 | $3,981.07 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $8,709.64 | Professional | None | $1,348.96 | $1,737.80 | $8,709.64 |
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 $1,174.90 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,380.38 | $2,041.74 |
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 $588.84 Median $724.44 Typical High $912.01 | Professional | 52 · Reduced service | $588.84 | $724.44 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $295.12 Typical High $363.08 | Professional | 53 · Discontinued | $234.42 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,096.48 Typical High $1,348.96 | Professional | 54 · Surgery only | $891.25 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $218.78 Typical High $269.15 | Professional | 55 · Aftercare only | $177.83 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $144.54 Typical High $181.97 | Professional | 56 · Pre-op care only | $117.49 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,258.93 |
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· 18th 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.