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 $5,495.41 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,318.26 | $1,318.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,548.82 | $1,621.81 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,691.53 | Facility | None | $446.68 | $645.65 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,412.54 | Professional | None | $851.14 | $1,202.26 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,318.26 Typical High $12,022.64 | Facility | None | $446.68 | $1,318.26 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $8,511.38 | Professional | None | $851.14 | $1,230.27 | $8,511.38 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,698.24 | Professional | None | $812.83 | $1,230.27 | $1,698.24 |
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 $501.19 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $501.19 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $199.53 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $741.31 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $194.98 Typical High $199.53 | Professional | 55 · Aftercare only | $147.91 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $100.00 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $691.83 | $912.01 | $912.01 |
Where Kansas sits
The same service costs 4.6 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· 16th 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.