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 $5,128.61 Typical High $9,549.93 | Facility | None | $2,511.89 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,479.11 | $1,819.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $616.60 Median $15,135.61 Typical High $16,218.10 | Facility | None | $616.60 | $15,135.61 | $16,218.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $1,288.25 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,949.84 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,137.96 Typical High $7,585.78 | Facility | None | $54.95 | $2,137.96 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $9,549.93 | Professional | None | $1,318.26 | $1,659.59 | $9,549.93 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,202.26 | $1,412.54 | $2,041.74 |
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 $602.56 Median $741.31 Typical High $912.01 | Professional | 52 · Reduced service | $602.56 | $741.31 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $295.12 Typical High $363.08 | Professional | 53 · Discontinued | $239.88 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,122.02 Typical High $1,380.38 | Professional | 54 · Surgery only | $891.25 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $223.87 Typical High $275.42 | Professional | 55 · Aftercare only | $177.83 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $147.91 Typical High $181.97 | Professional | 56 · Pre-op care only | $120.23 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,047.13 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $831.76 | $1,047.13 | $1,288.25 |
Where Kansas sits
The same service costs 8.7 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
$1,820
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.