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 $2,137.96 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,137.96 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,148.15 | $1,584.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,137.96 Typical High $2,454.71 | Facility | None | $912.01 | $2,137.96 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $1,778.28 | Professional | None | $933.25 | $1,445.44 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,148.15 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $9,120.11 | Professional | None | $1,023.29 | $1,995.26 | $9,120.11 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,659.59 | Professional | None | $954.99 | $1,174.90 | $1,659.59 |
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 $575.44 Typical High $794.33 | Professional | 52 · Reduced service | $501.19 | $575.44 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $234.42 Typical High $316.23 | Professional | 53 · Discontinued | $204.17 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $870.96 Typical High $1,202.26 | Professional | 54 · Surgery only | $758.58 | $870.96 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $173.78 Typical High $239.88 | Professional | 55 · Aftercare only | $151.36 | $173.78 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $114.82 Typical High $158.49 | Professional | 56 · Pre-op care only | $102.33 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $812.83 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $707.95 | $812.83 | $1,122.02 |
Where Kansas sits
The same service costs 6.2 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
$1,413
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.