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 $1,202.26 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,513.56 | $1,778.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $933.25 Median $1,380.38 Typical High $1,995.26 | Professional | None | $933.25 | $1,380.38 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,174.90 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $7,244.36 | Professional | None | $1,023.29 | $1,174.90 | $7,244.36 |
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 $1,000.00 Median $1,148.15 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,148.15 | $2,041.74 |
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 $602.56 Median $758.58 Typical High $891.25 | Professional | 52 · Reduced service | $602.56 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $302.00 Typical High $354.81 | Professional | 53 · Discontinued | $239.88 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,122.02 Typical High $1,348.96 | Professional | 54 · Surgery only | $912.01 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $229.09 Typical High $269.15 | Professional | 55 · Aftercare only | $181.97 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $151.36 Typical High $177.83 | Professional | 56 · Pre-op care only | $120.23 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,258.93 |
Where Kansas sits
The same service costs 5.9 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· 15th of 51
$1,660
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.