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 $933.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $933.25 | $1,288.25 | $1,513.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,949.84 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $2,344.23 | Facility | None | $645.65 | $2,290.87 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,698.24 | Professional | None | $776.25 | $1,174.90 | $1,698.24 |
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 $870.96 Median $1,000.00 Typical High $7,762.47 | Professional | None | $870.96 | $1,000.00 | $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 $851.14 Median $977.24 Typical High $1,737.80 | Professional | None | $851.14 | $977.24 | $1,737.80 |
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 $512.86 Median $645.65 Typical High $758.58 | Professional | 52 · Reduced service | $512.86 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $257.04 Typical High $302.00 | Professional | 53 · Discontinued | $204.17 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $954.99 Typical High $1,148.15 | Professional | 54 · Surgery only | $776.25 | $954.99 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $190.55 Typical High $229.09 | Professional | 55 · Aftercare only | $154.88 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $128.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $102.33 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $891.25 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $724.44 | $891.25 | $1,071.52 |
Where Kansas sits
The same service costs 6.6 times more in Oklahoma 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· 7th of 51
$1,862
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.