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 $2,630.27 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,630.27 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,445.44 | $1,949.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,311.31 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $3,981.07 Typical High $4,168.69 | Facility | None | $1,174.90 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,445.44 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,202.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $8,709.64 | Professional | None | $1,174.90 | $1,445.44 | $8,709.64 |
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 $1,174.90 Median $1,445.44 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,445.44 | $2,137.96 |
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 $630.96 Median $724.44 Typical High $977.24 | Professional | 52 · Reduced service | $630.96 | $724.44 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $288.40 Typical High $398.11 | Professional | 53 · Discontinued | $251.19 | $288.40 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,071.52 Typical High $1,479.11 | Professional | 54 · Surgery only | $933.25 | $1,071.52 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $213.80 Typical High $295.12 | Professional | 55 · Aftercare only | $186.21 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $144.54 Typical High $194.98 | Professional | 56 · Pre-op care only | $125.89 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,000.00 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $870.96 | $1,000.00 | $1,380.38 |
Where Kansas sits
The same service costs 5.5 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· 7th of 51
$2,512
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.