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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $1,202.26 Typical High $1,995.26 | Professional | None | $501.19 | $1,202.26 | $1,995.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $3,715.35 Typical High $3,890.45 | Facility | None | $1,949.84 | $3,715.35 | $3,890.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,819.70 | Professional | None | $831.76 | $831.76 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,344.23 Typical High $2,398.83 | Facility | None | $602.56 | $2,344.23 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $1,380.38 Typical High $2,041.74 | Professional | None | $416.87 | $1,380.38 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,041.74 Typical High $26,302.68 | Facility | None | $630.96 | $2,041.74 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $8,912.51 | Professional | None | $1,348.96 | $1,995.26 | $8,912.51 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,456.54 | Facility | None | $691.83 | $2,187.76 | $6,456.54 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,148.15 Typical High $2,041.74 | Professional | None | $407.38 | $1,148.15 | $2,041.74 |
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 $251.19 Median $575.44 Typical High $977.24 | Professional | 52 · Reduced service | $251.19 | $575.44 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $229.09 Typical High $398.11 | Professional | 53 · Discontinued | $100.00 | $229.09 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $851.14 Typical High $1,479.11 | Professional | 54 · Surgery only | $371.54 | $851.14 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $169.82 Typical High $295.12 | Professional | 55 · Aftercare only | $74.13 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $114.82 Typical High $194.98 | Professional | 56 · Pre-op care only | $50.12 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $794.33 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $346.74 | $794.33 | $1,380.38 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 6th 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.