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 $2,089.30 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,089.30 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,187.76 | $2,630.27 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,801.89 Typical High $5,370.32 | Facility | None | $602.56 | $3,801.89 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,348.96 | $1,995.26 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,202.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $11,481.54 | Professional | None | $1,513.56 | $1,862.09 | $11,481.54 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,445.44 | $1,659.59 | $3,019.95 |
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 $870.96 Median $1,096.48 Typical High $1,318.26 | Professional | 52 · Reduced service | $870.96 | $1,096.48 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $436.52 Typical High $524.81 | Professional | 53 · Discontinued | $354.81 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,659.59 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,318.26 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $331.13 Typical High $389.05 | Professional | 55 · Aftercare only | $263.03 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $218.78 Typical High $263.03 | Professional | 56 · Pre-op care only | $177.83 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,548.82 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,548.82 | $1,819.70 |
Where Kansas sits
The same service costs 5.8 times more in Alaska 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· 22nd of 51
$2,188
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.