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 $1,513.56 Median $4,677.35 Typical High $9,549.93 | Facility | None | $1,513.56 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,513.56 | $1,949.84 | $2,398.83 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,630.78 Typical High $4,168.69 | Facility | None | $691.83 | $3,630.78 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,445.44 | $2,041.74 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,187.76 Typical High $10,964.78 | Facility | None | $1,148.15 | $2,187.76 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $10,964.78 | Professional | None | $1,621.81 | $1,905.46 | $10,964.78 |
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 $1,479.11 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,479.11 | $1,862.09 | $2,818.38 |
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 $758.58 Median $977.24 Typical High $1,202.26 | Professional | 52 · Reduced service | $758.58 | $977.24 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $389.05 Typical High $478.63 | Professional | 53 · Discontinued | $302.00 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,479.11 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,122.02 | $1,479.11 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $295.12 Typical High $363.08 | Professional | 55 · Aftercare only | $223.87 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $194.98 Typical High $239.88 | Professional | 56 · Pre-op care only | $151.36 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,380.38 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,380.38 | $1,698.24 |
Where Kansas sits
The same service costs 7.1 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· 27th of 51
$2,089
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.