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 $1,174.90 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,479.11 | $1,737.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,370.32 | $5,623.41 | $5,623.41 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $6,606.93 Typical High $6,760.83 | Facility | None | $645.65 | $6,606.93 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $2,041.74 | Professional | None | $912.01 | $1,348.96 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $26,302.68 | Facility | None | $831.76 | $2,454.71 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $7,079.46 | Professional | None | $1,023.29 | $1,148.15 | $7,079.46 |
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 $977.24 Median $1,122.02 Typical High $1,995.26 | Professional | None | $977.24 | $1,122.02 | $1,995.26 |
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 $588.84 Median $741.31 Typical High $870.96 | Professional | 52 · Reduced service | $588.84 | $741.31 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $295.12 Typical High $346.74 | Professional | 53 · Discontinued | $234.42 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,096.48 Typical High $1,318.26 | Professional | 54 · Surgery only | $891.25 | $1,096.48 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $223.87 Typical High $263.03 | Professional | 55 · Aftercare only | $177.83 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $147.91 Typical High $173.78 | Professional | 56 · Pre-op care only | $117.49 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,230.27 |
Where Kansas sits
The same service costs 6.3 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· 8th of 51
$2,089
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.