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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,071.52 | Professional | None | $707.95 | $870.96 | $1,071.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,071.52 Typical High $1,202.26 | Facility | None | $380.19 | $1,071.52 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,071.52 | Professional | None | $741.31 | $1,023.29 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $794.33 Typical High $12,022.64 | Facility | None | $158.49 | $794.33 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $5,128.61 | Professional | None | $724.44 | $912.01 | $5,128.61 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,905.46 | Facility | None | $125.89 | $407.38 | $1,905.46 |
United Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,122.02 | Professional | None | $691.83 | $812.83 | $1,122.02 |
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 $354.81 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $354.81 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $173.78 Typical High $218.78 | Professional | 53 · Discontinued | $141.25 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $660.69 Typical High $812.83 | Professional | 54 · Surgery only | $524.81 | $660.69 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $131.83 Typical High $162.18 | Professional | 55 · Aftercare only | $104.71 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $87.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $70.79 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $616.60 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $489.78 | $616.60 | $758.58 |
Where Kansas sits
The same service costs 8.5 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
$1,000
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.