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 $2,951.21 Median $7,762.47 Typical High $13,803.84 | Facility | None | $2,951.21 | $7,762.47 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,258.93 | Professional | None | $812.83 | $933.25 | $1,258.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $6,456.54 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,456.54 | $6,918.31 | $6,918.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $2,041.74 | Facility | None | $478.63 | $691.83 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,445.44 | Professional | None | $831.76 | $1,230.27 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,230.27 Typical High $10,232.93 | Facility | None | $446.68 | $1,230.27 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,621.81 Typical High $5,623.41 | Professional | None | $812.83 | $1,621.81 | $5,623.41 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,318.26 | Professional | None | $776.25 | $954.99 | $1,318.26 |
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 $407.38 Median $457.09 Typical High $630.96 | Professional | 52 · Reduced service | $407.38 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $251.19 | Professional | 53 · Discontinued | $165.96 | $186.21 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $691.83 Typical High $954.99 | Professional | 54 · Surgery only | $616.60 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $138.04 Typical High $190.55 | Professional | 55 · Aftercare only | $123.03 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $93.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $81.28 | $93.33 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $645.65 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $575.44 | $645.65 | $891.25 |
Where Kansas sits
The same service costs 5.9 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
$1,202
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.