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 $2,511.89 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,511.89 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,621.81 | $2,041.74 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $12,302.69 Typical High $12,589.25 | Facility | None | $707.95 | $12,302.69 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $2,951.21 | Professional | None | $1,778.28 | $2,951.21 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,019.95 Typical High $12,589.25 | Facility | None | $54.95 | $3,019.95 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $14,454.40 | Professional | None | $1,737.80 | $2,187.76 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,659.59 | $1,905.46 | $2,691.53 |
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 $812.83 Median $1,023.29 Typical High $1,258.93 | Professional | 52 · Reduced service | $812.83 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $407.38 Typical High $501.19 | Professional | 53 · Discontinued | $323.59 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,513.56 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,230.27 | $1,513.56 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $302.00 Typical High $371.54 | Professional | 55 · Aftercare only | $245.47 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $204.17 Typical High $251.19 | Professional | 56 · Pre-op care only | $162.18 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,412.54 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,412.54 | $1,737.80 |
Where Kansas sits
The same service costs 20.4 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· 21st of 51
$2,455
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.