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 $1,949.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,380.38 | Professional | None | $954.99 | $1,096.48 | $1,380.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,630.78 Typical High $3,715.35 | Facility | None | $645.65 | $3,630.78 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,737.80 | Professional | None | $812.83 | $1,202.26 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,398.83 Typical High $26,302.68 | Facility | None | $831.76 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $7,762.47 | Professional | None | $891.25 | $1,023.29 | $7,762.47 |
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 $870.96 Median $1,023.29 Typical High $1,548.82 | Professional | None | $870.96 | $1,023.29 | $1,548.82 |
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 $478.63 Median $549.54 Typical High $676.08 | Professional | 52 · Reduced service | $478.63 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $223.87 Typical High $275.42 | Professional | 53 · Discontinued | $190.55 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $831.76 Typical High $1,023.29 | Professional | 54 · Surgery only | $724.44 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $165.96 Typical High $204.17 | Professional | 55 · Aftercare only | $144.54 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $109.65 Typical High $138.04 | Professional | 56 · Pre-op care only | $95.50 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $776.25 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $676.08 | $776.25 | $954.99 |
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· 20th of 51
$1,380
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.