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 $2,818.38 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,818.38 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,818.38 | Professional | None | $1,819.70 | $2,041.74 | $2,818.38 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $2,041.74 | Facility | None | $446.68 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,511.89 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,466.84 | Facility | None | $54.95 | $1,000.00 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,630.78 Typical High $12,589.25 | Professional | None | $1,819.70 | $3,630.78 | $12,589.25 |
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 $1,737.80 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,737.80 | $2,137.96 | $2,951.21 |
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 $912.01 Median $1,023.29 Typical High $1,412.54 | Professional | 52 · Reduced service | $912.01 | $1,023.29 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $407.38 Typical High $562.34 | Professional | 53 · Discontinued | $363.08 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,548.82 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,380.38 | $1,548.82 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $309.03 Typical High $426.58 | Professional | 55 · Aftercare only | $275.42 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $204.17 Typical High $281.84 | Professional | 56 · Pre-op care only | $181.97 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,445.44 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,445.44 | $1,949.84 |
Where Kansas sits
The same service costs 5.4 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· 17th of 51
$2,512
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.