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 $2,187.76 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,187.76 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,621.81 | $2,187.76 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
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 $1,445.44 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,905.46 | $2,511.89 |
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 $1,412.54 Median $2,818.38 Typical High $9,772.37 | Professional | None | $1,412.54 | $2,818.38 | $9,772.37 |
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 $1,318.26 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,659.59 | $2,344.23 |
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 $707.95 Median $794.33 Typical High $1,096.48 | Professional | 52 · Reduced service | $707.95 | $794.33 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $323.59 Typical High $436.52 | Professional | 53 · Discontinued | $288.40 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,202.26 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,071.52 | $1,202.26 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $239.88 Typical High $331.13 | Professional | 55 · Aftercare only | $213.80 | $239.88 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $162.18 Typical High $218.78 | Professional | 56 · Pre-op care only | $141.25 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,122.02 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,122.02 | $1,548.82 |
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· 19th of 51
$1,905
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.