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 $1,819.70 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,819.70 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,318.26 | Professional | None | $870.96 | $1,096.48 | $1,318.26 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,290.87 Typical High $2,398.83 | Facility | None | $794.33 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,445.44 | Professional | None | $676.08 | $1,000.00 | $1,445.44 |
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 $741.31 Median $831.76 Typical High $6,025.60 | Professional | None | $741.31 | $831.76 | $6,025.60 |
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 $724.44 Median $831.76 Typical High $1,513.56 | Professional | None | $724.44 | $831.76 | $1,513.56 |
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 $436.52 Median $549.54 Typical High $645.65 | Professional | 52 · Reduced service | $436.52 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $218.78 Typical High $263.03 | Professional | 53 · Discontinued | $177.83 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $660.69 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $131.83 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $109.65 Typical High $131.83 | Professional | 56 · Pre-op care only | $87.10 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $776.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $616.60 | $776.25 | $912.01 |
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· 17th of 51
$1,259
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.