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 $2,290.87 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,290.87 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,737.80 | $2,137.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $7,079.46 Typical High $7,413.10 | Facility | None | $2,511.89 | $7,079.46 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $3,981.07 Typical High $4,073.80 | Facility | None | $912.01 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,819.70 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,202.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $10,000.00 | Professional | None | $1,318.26 | $1,698.24 | $10,000.00 |
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 $1,288.25 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,659.59 | $2,511.89 |
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 $660.69 Median $870.96 Typical High $1,071.52 | Professional | 52 · Reduced service | $660.69 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $346.74 Typical High $426.58 | Professional | 53 · Discontinued | $269.15 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,288.25 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,000.00 | $1,288.25 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $263.03 Typical High $323.59 | Professional | 55 · Aftercare only | $199.53 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $173.78 Typical High $213.80 | Professional | 56 · Pre-op care only | $131.83 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,202.26 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $933.25 | $1,202.26 | $1,513.56 |
Where Kansas sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 14th of 51
$2,512
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.