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 $2,089.30 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,089.30 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,698.24 | $2,089.30 | $2,570.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $4,466.84 Typical High $5,128.61 | Facility | None | $676.08 | $4,466.84 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,819.70 | $2,570.40 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $4,168.69 Typical High $33,884.42 | Facility | None | $1,258.93 | $4,168.69 | $33,884.42 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $12,589.25 | Professional | None | $1,819.70 | $2,290.87 | $12,589.25 |
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 $1,698.24 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,698.24 | $1,949.84 | $2,754.23 |
4 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 54 · Surgery only Typical Low $1,258.93 Median $1,548.82 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,258.93 | $1,548.82 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $309.03 Typical High $389.05 | Professional | 55 · Aftercare only | $251.19 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $208.93 Typical High $257.04 | Professional | 56 · Pre-op care only | $169.82 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,445.44 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,445.44 | $1,819.70 |
Where Kansas sits
The same service costs 7.8 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· 22nd of 51
$2,570
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.