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 $2,570.40 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,570.40 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,230.27 | $1,513.56 | $1,905.46 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,309.57 Typical High $6,606.93 | Facility | None | $707.95 | $6,309.57 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,737.80 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,238.72 Typical High $8,912.51 | Facility | None | $54.95 | $2,238.72 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $10,715.19 | Professional | None | $1,288.25 | $1,621.81 | $10,715.19 |
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 $1,230.27 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,445.44 | $1,995.26 |
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 $616.60 Median $758.58 Typical High $933.25 | Professional | 52 · Reduced service | $616.60 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $245.47 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,148.15 Typical High $1,412.54 | Professional | 54 · Surgery only | $912.01 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | 55 · Aftercare only | $186.21 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | 56 · Pre-op care only | $123.03 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,071.52 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $851.14 | $1,071.52 | $1,318.26 |
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
$1,862
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.