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 $5,754.40 Typical High $10,715.19 | Facility | None | $1,949.84 | $5,754.40 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | None | $616.60 | $812.83 | $812.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,884.03 Typical High $3,162.28 | Facility | None | $741.31 | $2,884.03 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $891.25 | Professional | None | $524.81 | $645.65 | $891.25 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,398.83 Typical High $26,302.68 | Facility | None | $691.83 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $7,413.10 | Professional | None | $512.86 | $758.58 | $7,413.10 |
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 $501.19 Median $758.58 Typical High $1,047.13 | Professional | None | $501.19 | $758.58 | $1,047.13 |
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 $309.03 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $309.03 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $123.03 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $457.09 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $120.23 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $426.58 | $562.34 | $562.34 |
Where Kansas sits
The same service costs 5.4 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· 25th of 51
$912
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.