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 $2,884.03 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,884.03 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,398.83 | Professional | None | $1,548.82 | $1,905.46 | $2,398.83 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $2,290.87 | Facility | None | $912.01 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,621.81 | $2,089.30 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,905.46 Typical High $26,302.68 | Facility | None | $549.54 | $1,905.46 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $11,481.54 | Professional | None | $1,445.44 | $1,949.84 | $11,481.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,412.54 | $1,778.28 | $2,454.71 |
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 $776.25 Median $954.99 Typical High $1,174.90 | Professional | 52 · Reduced service | $776.25 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $380.19 Typical High $478.63 | Professional | 53 · Discontinued | $309.03 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,445.44 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,148.15 | $1,445.44 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $288.40 Typical High $354.81 | Professional | 55 · Aftercare only | $229.09 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $190.55 Typical High $239.88 | Professional | 56 · Pre-op care only | $154.88 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,348.96 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,348.96 | $1,659.59 |
Where Kansas sits
The same service costs 15.8 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· 24th of 51
$1,905
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.