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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $891.25 | Professional | None | $363.08 | $562.34 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,122.02 | Facility | None | $1,023.29 | $1,071.52 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | None | $426.58 | $426.58 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,445.44 Typical High $1,621.81 | Facility | None | $524.81 | $1,445.44 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $616.60 Typical High $851.14 | Professional | None | $363.08 | $616.60 | $851.14 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,412.54 Typical High $16,218.10 | Facility | None | $524.81 | $1,412.54 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $2,630.27 Typical High $4,365.16 | Professional | None | $549.54 | $2,630.27 | $4,365.16 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $776.25 | Professional | None | $346.74 | $512.86 | $776.25 |
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 $181.97 Median $281.84 Typical High $446.68 | Professional | 52 · Reduced service | $181.97 | $281.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $112.20 Typical High $177.83 | Professional | 53 · Discontinued | $72.44 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $416.87 Typical High $676.08 | Professional | 54 · Surgery only | $269.15 | $416.87 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $83.18 Typical High $134.90 | Professional | 55 · Aftercare only | $53.70 | $83.18 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $56.23 Typical High $89.13 | Professional | 56 · Pre-op care only | $36.31 | $56.23 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $389.05 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $251.19 | $389.05 | $630.96 |
Where Kansas sits
The same service costs 4.7 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· 12th of 51
$708
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.