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 $2,041.74 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $794.33 | Professional | None | $537.03 | $630.96 | $794.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $3,019.95 Typical High $3,162.28 | Facility | None | $912.01 | $3,019.95 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,288.25 | Professional | None | $537.03 | $794.33 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,737.80 Typical High $26,302.68 | Facility | None | $741.31 | $1,737.80 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $5,011.87 | Professional | None | $562.34 | $676.08 | $5,011.87 |
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 $562.34 Median $602.56 Typical High $1,047.13 | Professional | None | $562.34 | $602.56 | $1,047.13 |
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 $269.15 Median $316.23 Typical High $398.11 | Professional | 52 · Reduced service | $269.15 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $125.89 Typical High $158.49 | Professional | 53 · Discontinued | $107.15 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $478.63 Typical High $588.84 | Professional | 54 · Surgery only | $407.38 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $95.50 Typical High $117.49 | Professional | 55 · Aftercare only | $81.28 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $63.10 Typical High $79.43 | Professional | 56 · Pre-op care only | $53.70 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $380.19 | $446.68 | $549.54 |
Where Kansas sits
The same service costs 8.3 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· 22nd of 51
$871
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.