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 $2,630.27 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,630.27 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,412.54 | $1,778.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,445.44 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,041.74 | Facility | None | $446.68 | $645.65 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,548.82 | $2,238.72 |
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 $1,148.15 Median $1,348.96 Typical High $10,000.00 | Professional | None | $1,148.15 | $1,348.96 | $10,000.00 |
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 $1,122.02 Median $1,318.26 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,318.26 | $1,995.26 |
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 $616.60 Median $707.95 Typical High $891.25 | Professional | 52 · Reduced service | $616.60 | $707.95 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $288.40 Typical High $354.81 | Professional | 53 · Discontinued | $251.19 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,071.52 Typical High $1,318.26 | Professional | 54 · Surgery only | $933.25 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $213.80 Typical High $263.03 | Professional | 55 · Aftercare only | $186.21 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $141.25 Typical High $177.83 | Professional | 56 · Pre-op care only | $123.03 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,000.00 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $870.96 | $1,000.00 | $1,230.27 |
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· 23rd of 51
$1,445
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.