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 $645.65 Median $724.44 Typical High $1,000.00 | Professional | None | $645.65 | $724.44 | $1,000.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $4,168.69 Typical High $4,365.16 | Facility | None | $2,041.74 | $4,168.69 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $2,511.89 | Facility | None | $1,584.89 | $2,187.76 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,122.02 | Professional | None | $630.96 | $851.14 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,398.83 Typical High $26,302.68 | Facility | None | $724.44 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,258.93 Typical High $4,677.35 | Professional | None | $630.96 | $1,258.93 | $4,677.35 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,047.13 | Professional | None | $602.56 | $741.31 | $1,047.13 |
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 $323.59 Median $363.08 Typical High $501.19 | Professional | 52 · Reduced service | $323.59 | $363.08 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $144.54 Typical High $199.53 | Professional | 53 · Discontinued | $128.82 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $741.31 | Professional | 54 · Surgery only | $478.63 | $549.54 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $72.44 Typical High $100.00 | Professional | 56 · Pre-op care only | $64.57 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $512.86 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $446.68 | $512.86 | $691.83 |
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· 17th of 51
$912
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.