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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,318.26 | Professional | None | $831.76 | $1,071.52 | $1,318.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,981.07 Typical High $4,073.80 | Facility | None | $794.33 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,698.24 | Professional | None | $812.83 | $1,148.15 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,000.00 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $6,165.95 | Professional | None | $812.83 | $1,023.29 | $6,165.95 |
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 $794.33 Median $1,000.00 Typical High $1,548.82 | Professional | None | $794.33 | $1,000.00 | $1,548.82 |
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 $416.87 Median $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $416.87 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $165.96 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $616.60 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $123.03 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $107.15 Typical High $131.83 | Professional | 56 · Pre-op care only | $83.18 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $575.44 | $758.58 | $933.25 |
Where Kansas sits
The same service costs 7.4 times more in Oklahoma 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
$1,318
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.