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 $1,778.28 Median $4,786.30 Typical High $10,715.19 | Facility | None | $1,778.28 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $891.25 | Professional | None | $758.58 | $870.96 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,244.36 Median $7,585.78 Typical High $7,943.28 | Facility | None | $7,244.36 | $7,585.78 | $7,943.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $2,041.74 | Facility | None | $446.68 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,698.24 | Professional | None | $724.44 | $1,174.90 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,348.96 Typical High $6,309.57 | Facility | None | $54.95 | $1,348.96 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $5,888.44 | Professional | None | $776.25 | $954.99 | $5,888.44 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,412.54 | Professional | None | $776.25 | $870.96 | $1,412.54 |
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 $380.19 Median $436.52 Typical High $446.68 | Professional | 52 · Reduced service | $380.19 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $151.36 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $660.69 Typical High $676.08 | Professional | 54 · Surgery only | $562.34 | $660.69 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $131.83 Typical High $134.90 | Professional | 55 · Aftercare only | $112.20 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $87.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $75.86 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $616.60 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $524.81 | $616.60 | $630.96 |
Where Kansas sits
The same service costs 8.5 times more in Oklahoma 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· 12th of 51
$1,349
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.