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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $1,258.93 Typical High $2,089.30 | Professional | None | $446.68 | $1,258.93 | $2,089.30 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,412.54 | $1,412.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $2,344.23 | Professional | None | $707.95 | $707.95 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,778.28 Typical High $2,454.71 | Facility | None | $676.08 | $1,778.28 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,584.89 Typical High $5,495.41 | Professional | None | $426.58 | $1,584.89 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $8,317.64 | Facility | None | $54.95 | $2,187.76 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $4,466.84 Typical High $20,417.38 | Professional | None | $1,621.81 | $4,466.84 | $20,417.38 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $416.87 Median $1,412.54 Typical High $3,467.37 | Professional | None | $416.87 | $1,412.54 | $3,467.37 |
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 $223.87 Median $616.60 Typical High $1,047.13 | Professional | 52 · Reduced service | $223.87 | $616.60 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $245.47 Typical High $416.87 | Professional | 53 · Discontinued | $89.13 | $245.47 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $933.25 Typical High $1,584.89 | Professional | 54 · Surgery only | $338.84 | $933.25 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $186.21 Typical High $316.23 | Professional | 55 · Aftercare only | $67.61 | $186.21 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $123.03 Typical High $208.93 | Professional | 56 · Pre-op care only | $44.67 | $123.03 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $870.96 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $316.23 | $870.96 | $1,479.11 |
Where Kansas sits
The same service costs 4.9 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· 22nd of 51
$1,585
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.