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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,258.93 | Professional | None | $812.83 | $1,023.29 | $1,258.93 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,995.26 Typical High $2,238.72 | Facility | None | $524.81 | $1,995.26 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,258.93 | Professional | None | $794.33 | $1,096.48 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $1,258.93 Typical High $16,218.10 | Facility | None | $549.54 | $1,258.93 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $6,025.60 | Professional | None | $794.33 | $1,023.29 | $6,025.60 |
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 $776.25 Median $912.01 Typical High $1,288.25 | Professional | None | $776.25 | $912.01 | $1,288.25 |
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 $407.38 Median $512.86 Typical High $630.96 | Professional | 52 · Reduced service | $407.38 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $204.17 Typical High $251.19 | Professional | 53 · Discontinued | $165.96 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $758.58 Typical High $954.99 | Professional | 54 · Surgery only | $616.60 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $123.03 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $81.28 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $707.95 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $575.44 | $707.95 | $891.25 |
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· 20th of 51
$1,122
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.