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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $933.25 | Professional | None | $630.96 | $776.25 | $933.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,137.96 Typical High $2,344.23 | Facility | None | $380.19 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,096.48 | Professional | None | $478.63 | $707.95 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,737.80 Typical High $12,022.64 | Facility | None | $794.33 | $1,737.80 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $7,585.78 | Professional | None | $524.81 | $588.84 | $7,585.78 |
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 $512.86 Median $588.84 Typical High $1,071.52 | Professional | None | $512.86 | $588.84 | $1,071.52 |
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 $316.23 Median $389.05 Typical High $467.74 | Professional | 52 · Reduced service | $316.23 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $158.49 Typical High $186.21 | Professional | 53 · Discontinued | $125.89 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $467.74 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $93.33 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | 56 · Pre-op care only | $63.10 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $436.52 | $549.54 | $645.65 |
Where Kansas sits
The same service costs 5.5 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
$933
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.