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 $1,698.24 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,698.24 | $2,137.96 | $2,630.27 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,801.89 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,165.95 Typical High $6,456.54 | Facility | None | $707.95 | $6,165.95 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,630.27 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,818.38 Typical High $9,549.93 | Facility | None | $54.95 | $2,818.38 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $16,982.44 | Professional | None | $1,862.09 | $2,290.87 | $16,982.44 |
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 $1,737.80 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,737.80 | $2,041.74 | $2,818.38 |
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 $851.14 Median $1,071.52 Typical High $1,318.26 | Professional | 52 · Reduced service | $851.14 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $426.58 Typical High $524.81 | Professional | 53 · Discontinued | $346.74 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,584.89 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,288.25 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $316.23 Typical High $398.11 | Professional | 55 · Aftercare only | $257.04 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $213.80 Typical High $263.03 | Professional | 56 · Pre-op care only | $169.82 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,479.11 | $1,819.70 |
Where Kansas sits
The same service costs 9.3 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
$2,630
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.