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 $2,398.83 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,398.83 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,174.90 | Professional | None | $741.31 | $851.14 | $1,174.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $4,168.69 Typical High $4,897.79 | Facility | None | $1,122.02 | $4,168.69 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,288.25 | Professional | None | $691.83 | $1,122.02 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $26,302.68 | Facility | None | $912.01 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,479.11 Typical High $10,964.78 | Professional | None | $776.25 | $1,479.11 | $10,964.78 |
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 $724.44 Median $870.96 Typical High $1,202.26 | Professional | None | $724.44 | $870.96 | $1,202.26 |
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 $371.54 Median $426.58 Typical High $575.44 | Professional | 52 · Reduced service | $371.54 | $426.58 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $169.82 Typical High $234.42 | Professional | 53 · Discontinued | $147.91 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $630.96 Typical High $870.96 | Professional | 54 · Surgery only | $549.54 | $630.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $125.89 Typical High $173.78 | Professional | 55 · Aftercare only | $109.65 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $85.11 Typical High $117.49 | Professional | 56 · Pre-op care only | $74.13 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $588.84 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $512.86 | $588.84 | $812.83 |
Where Kansas sits
The same service costs 6.3 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
$1,047
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.