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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,348.96 | Professional | None | $851.14 | $977.24 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,981.07 Typical High $4,073.80 | Facility | None | $794.33 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,513.56 | Professional | None | $870.96 | $1,318.26 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,023.29 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $7,079.46 | Professional | None | $912.01 | $1,698.24 | $7,079.46 |
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 $851.14 Median $1,000.00 Typical High $1,412.54 | Professional | None | $851.14 | $1,000.00 | $1,412.54 |
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 $426.58 Median $489.78 Typical High $676.08 | Professional | 52 · Reduced service | $426.58 | $489.78 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $199.53 Typical High $269.15 | Professional | 53 · Discontinued | $169.82 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $741.31 Typical High $1,023.29 | Professional | 54 · Surgery only | $645.65 | $741.31 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $147.91 Typical High $204.17 | Professional | 55 · Aftercare only | $128.82 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $97.72 Typical High $134.90 | Professional | 56 · Pre-op care only | $85.11 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $691.83 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $602.56 | $691.83 | $954.99 |
Where Kansas sits
The same service costs 6.5 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· 14th of 51
$1,318
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.