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 $436.52 Median $1,737.80 Typical High $2,344.23 | Professional | None | $436.52 | $1,737.80 | $2,344.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $3,890.45 | Facility | None | $2,454.71 | $3,715.35 | $3,890.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $2,137.96 | Professional | None | $549.54 | $549.54 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,238.72 Typical High $2,570.40 | Facility | None | $602.56 | $2,238.72 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $1,445.44 Typical High $2,344.23 | Professional | None | $363.08 | $1,445.44 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $2,041.74 Typical High $26,302.68 | Facility | None | $549.54 | $2,041.74 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $10,471.29 | Professional | None | $1,445.44 | $2,238.72 | $10,471.29 |
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 $346.74 Median $1,318.26 Typical High $2,290.87 | Professional | None | $346.74 | $1,318.26 | $2,290.87 |
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 $213.80 Median $676.08 Typical High $1,148.15 | Professional | 52 · Reduced service | $213.80 | $676.08 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $269.15 Typical High $457.09 | Professional | 53 · Discontinued | $87.10 | $269.15 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $1,000.00 Typical High $1,737.80 | Professional | 54 · Surgery only | $323.59 | $1,000.00 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $199.53 Typical High $346.74 | Professional | 55 · Aftercare only | $64.57 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $134.90 Typical High $229.09 | Professional | 56 · Pre-op care only | $43.65 | $134.90 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $933.25 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $302.00 | $933.25 | $1,621.81 |
Where Kansas sits
The same service costs 5.8 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
$2,188
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.