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 $1,288.25 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,288.25 | $1,513.56 | $1,905.46 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,265.80 Typical High $4,466.84 | Facility | None | $691.83 | $4,265.80 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,258.93 | $1,905.46 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,238.72 Typical High $8,511.38 | Facility | None | $54.95 | $2,238.72 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $9,772.37 | Professional | None | $1,412.54 | $1,621.81 | $9,772.37 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,479.11 | $2,454.71 |
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 $645.65 Median $758.58 Typical High $933.25 | Professional | 52 · Reduced service | $645.65 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $257.04 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,122.02 Typical High $1,412.54 | Professional | 54 · Surgery only | $977.24 | $1,122.02 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $223.87 Typical High $281.84 | Professional | 55 · Aftercare only | $194.98 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $151.36 Typical High $190.55 | Professional | 56 · Pre-op care only | $128.82 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,047.13 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $912.01 | $1,047.13 | $1,318.26 |
Where Kansas sits
The same service costs 6.9 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· 14th of 51
$2,239
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.