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 $1,819.70 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,737.80 | $2,238.72 | $2,754.23 |
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,981.07 Typical High $4,073.80 | Facility | None | $562.34 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,398.83 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $16,218.10 | Facility | None | $1,202.26 | $2,951.21 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $12,882.50 | Professional | None | $1,778.28 | $2,238.72 | $12,882.50 |
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 $1,737.80 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,187.76 | $3,235.94 |
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 $851.14 Median $1,122.02 Typical High $1,380.38 | Professional | 52 · Reduced service | $851.14 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $446.68 Typical High $549.54 | Professional | 53 · Discontinued | $346.74 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,698.24 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,288.25 | $1,698.24 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $338.84 Typical High $416.87 | Professional | 55 · Aftercare only | $257.04 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $223.87 Typical High $275.42 | Professional | 56 · Pre-op care only | $173.78 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,584.89 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,584.89 | $1,949.84 |
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· 28th of 51
$2,291
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.