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 $1,905.46 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,905.46 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,412.54 | Professional | None | $912.01 | $1,148.15 | $1,412.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,905.46 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,187.76 Typical High $2,238.72 | Facility | None | $645.65 | $2,187.76 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $1,445.44 | Professional | None | $933.25 | $1,412.54 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,398.83 Typical High $26,302.68 | Facility | None | $831.76 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $6,760.83 | Professional | None | $912.01 | $1,202.26 | $6,760.83 |
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 $891.25 Median $1,047.13 Typical High $1,479.11 | Professional | None | $891.25 | $1,047.13 | $1,479.11 |
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 $457.09 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $457.09 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $181.97 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $851.14 Typical High $1,071.52 | Professional | 54 · Surgery only | $691.83 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $169.82 Typical High $213.80 | Professional | 55 · Aftercare only | $138.04 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $114.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $91.20 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $794.33 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $645.65 | $794.33 | $1,000.00 |
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· 17th of 51
$1,413
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.