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 $1,698.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,023.29 | Professional | None | $660.69 | $741.31 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,778.28 Typical High $1,995.26 | Facility | None | $602.56 | $1,778.28 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,096.48 | Professional | None | $630.96 | $831.76 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $26,302.68 | Facility | None | $741.31 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $4,466.84 | Professional | None | $616.60 | $1,288.25 | $4,466.84 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,023.29 | Professional | None | $575.44 | $758.58 | $1,023.29 |
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 $331.13 Median $371.54 Typical High $512.86 | Professional | 52 · Reduced service | $331.13 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $147.91 Typical High $204.17 | Professional | 53 · Discontinued | $131.83 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $562.34 Typical High $758.58 | Professional | 54 · Surgery only | $489.78 | $562.34 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $112.20 Typical High $151.36 | Professional | 55 · Aftercare only | $97.72 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $74.13 Typical High $102.33 | Professional | 56 · Pre-op care only | $66.07 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $524.81 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $457.09 | $524.81 | $707.95 |
Where Kansas sits
The same service costs 5.6 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· 21st of 51
$813
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.