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 $6,456.54 Typical High $10,964.78 | Facility | None | $2,041.74 | $6,456.54 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,174.90 | Professional | None | $794.33 | $933.25 | $1,174.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,760.83 Typical High $7,079.46 | Facility | None | $707.95 | $6,760.83 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,698.24 | Professional | None | $794.33 | $1,148.15 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $5,011.87 Typical High $13,803.84 | Facility | None | $1,000.00 | $5,011.87 | $13,803.84 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $6,025.60 | Professional | None | $891.25 | $1,047.13 | $6,025.60 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,513.56 | Professional | None | $851.14 | $933.25 | $1,513.56 |
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 $398.11 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $398.11 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $158.49 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $707.95 Typical High $870.96 | Professional | 54 · Surgery only | $602.56 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | 55 · Aftercare only | $120.23 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $79.43 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $660.69 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $562.34 | $660.69 | $812.83 |
Where Kansas sits
The same service costs 11.0 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· 24th of 51
$1,230
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.