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 $1,698.24 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,698.24 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $851.14 | Professional | None | $524.81 | $707.95 | $851.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,659.59 | $1,737.80 | $1,737.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,137.96 Typical High $2,398.83 | Facility | None | $741.31 | $2,137.96 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $933.25 | Professional | None | $436.52 | $645.65 | $933.25 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $26,302.68 | Facility | None | $707.95 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $3,801.89 | Professional | None | $478.63 | $537.03 | $3,801.89 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $977.24 | Professional | None | $467.74 | $537.03 | $977.24 |
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 $281.84 Median $354.81 Typical High $426.58 | Professional | 52 · Reduced service | $281.84 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $114.82 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $426.58 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $70.79 Typical High $85.11 | Professional | 56 · Pre-op care only | $57.54 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $398.11 | $501.19 | $588.84 |
Where Kansas sits
The same service costs 8.7 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· 5th of 51
$1,318
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.