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 $1,698.24 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,023.29 | Professional | None | $489.78 | $776.25 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,819.70 | $1,905.46 | $1,905.46 |
BCBS Kansas Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,995.26 Typical High $2,290.87 | Facility | None | $741.31 | $1,995.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $812.83 Typical High $1,023.29 | Professional | None | $524.81 | $812.83 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,412.54 Typical High $26,302.68 | Facility | None | $776.25 | $1,412.54 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $3,715.35 Typical High $4,897.79 | Professional | None | $741.31 | $3,715.35 | $4,897.79 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,047.13 | Professional | None | $575.44 | $707.95 | $1,047.13 |
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 $245.47 Median $389.05 Typical High $512.86 | Professional | 52 · Reduced service | $245.47 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $154.88 Typical High $204.17 | Professional | 53 · Discontinued | $97.72 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $575.44 Typical High $776.25 | Professional | 54 · Surgery only | $371.54 | $575.44 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $117.49 Typical High $154.88 | Professional | 55 · Aftercare only | $74.13 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $77.62 Typical High $102.33 | Professional | 56 · Pre-op care only | $48.98 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $537.03 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $346.74 | $537.03 | $724.44 |
Where Kansas sits
The same service costs 5.8 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· 11th of 51
$955
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.