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 $1,479.11 Median $3,162.28 Typical High $8,912.51 | Facility | None | $1,479.11 | $3,162.28 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,380.38 | $1,621.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,801.89 | Facility | None | $3,090.30 | $3,630.78 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,630.78 Typical High $3,715.35 | Facility | None | $691.83 | $3,630.78 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,819.70 | Professional | None | $831.76 | $1,258.93 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,412.54 Typical High $5,623.41 | Facility | None | $54.95 | $1,412.54 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $6,456.54 | Professional | None | $933.25 | $1,047.13 | $6,456.54 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $5,495.41 | Facility | None | $831.76 | $1,737.80 | $5,495.41 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,862.09 | Professional | None | $891.25 | $1,023.29 | $1,862.09 |
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 $549.54 Median $676.08 Typical High $812.83 | Professional | 52 · Reduced service | $549.54 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $275.42 Typical High $323.59 | Professional | 53 · Discontinued | $218.78 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,023.29 Typical High $1,202.26 | Professional | 54 · Surgery only | $812.83 | $1,023.29 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $204.17 Typical High $245.47 | Professional | 55 · Aftercare only | $162.18 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $138.04 Typical High $162.18 | Professional | 56 · Pre-op care only | $109.65 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $954.99 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $758.58 | $954.99 | $1,122.02 |
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· 12th of 51
$1,622
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.