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 $5,495.41 Typical High $9,549.93 | Facility | None | $2,041.74 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,659.59 | $2,041.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,570.88 | $4,897.79 | $4,897.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,041.74 | Facility | None | $446.68 | $645.65 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,949.84 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $4,466.84 | Facility | None | $54.95 | $1,000.00 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $10,471.29 | Professional | None | $1,445.44 | $1,621.81 | $10,471.29 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,412.54 | $1,548.82 | $2,691.53 |
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 $707.95 Median $812.83 Typical High $1,023.29 | Professional | 52 · Reduced service | $707.95 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | 53 · Discontinued | $281.84 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,230.27 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,047.13 | $1,230.27 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $245.47 Typical High $309.03 | Professional | 55 · Aftercare only | $208.93 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $165.96 Typical High $204.17 | Professional | 56 · Pre-op care only | $141.25 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,148.15 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $977.24 | $1,148.15 | $1,445.44 |
Where Kansas sits
The same service costs 7.1 times more in Alaska than in Texas. 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· 16th of 51
$1,995
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.