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 $2,691.53 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,691.53 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,659.59 | $2,089.30 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $1,258.93 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,258.93 | $1,698.24 | $2,570.40 |
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 $1,258.93 Median $1,621.81 Typical High $9,549.93 | Professional | None | $1,258.93 | $1,621.81 | $9,549.93 |
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 $1,230.27 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,584.89 | $2,398.83 |
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 $645.65 Median $831.76 Typical High $1,023.29 | Professional | 52 · Reduced service | $645.65 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $257.04 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,258.93 Typical High $1,548.82 | Professional | 54 · Surgery only | $954.99 | $1,258.93 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $251.19 Typical High $309.03 | Professional | 55 · Aftercare only | $190.55 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $165.96 Typical High $208.93 | Professional | 56 · Pre-op care only | $128.82 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,174.90 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $891.25 | $1,174.90 | $1,445.44 |
Where Kansas sits
The same service costs 6.6 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· 23rd of 51
$1,950
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.