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 $1,949.84 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,949.84 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,513.56 | $1,862.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $1,148.15 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,737.80 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,174.90 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $8,709.64 | Professional | None | $1,258.93 | $1,513.56 | $8,709.64 |
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 $1,174.90 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,412.54 | $2,187.76 |
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 $588.84 Median $758.58 Typical High $933.25 | Professional | 52 · Reduced service | $588.84 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $234.42 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,148.15 Typical High $1,412.54 | Professional | 54 · Surgery only | $870.96 | $1,148.15 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $229.09 Typical High $281.84 | Professional | 55 · Aftercare only | $173.78 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $151.36 Typical High $186.21 | Professional | 56 · Pre-op care only | $117.49 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,071.52 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $812.83 | $1,071.52 | $1,318.26 |
Where Kansas sits
The same service costs 6.8 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· 20th of 51
$1,862
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.