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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,778.28 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,148.15 | $1,412.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,951.21 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,630.78 Typical High $3,715.35 | Facility | None | $562.34 | $3,630.78 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,778.28 | Professional | None | $831.76 | $1,230.27 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,398.83 Typical High $16,218.10 | Facility | None | $831.76 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $6,456.54 | Professional | None | $933.25 | $1,071.52 | $6,456.54 |
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 $912.01 Median $1,071.52 Typical High $1,621.81 | Professional | None | $912.01 | $1,071.52 | $1,621.81 |
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 $501.19 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $501.19 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $199.53 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $758.58 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $173.78 Typical High $213.80 | Professional | 55 · Aftercare only | $151.36 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $114.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $100.00 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $707.95 | $812.83 | $1,000.00 |
Where Kansas sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 8th 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.