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 $1,819.70 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,479.11 | $1,905.46 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,348.96 Typical High $2,511.89 | Facility | None | $524.81 | $1,348.96 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,778.28 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $16,218.10 | Facility | None | $812.83 | $2,398.83 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $8,709.64 | Professional | None | $1,318.26 | $1,548.82 | $8,709.64 |
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 $1,230.27 Median $1,412.54 Typical High $1,905.46 | Professional | None | $1,230.27 | $1,412.54 | $1,905.46 |
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 $588.84 Median $724.44 Typical High $933.25 | Professional | 52 · Reduced service | $588.84 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $295.12 Typical High $380.19 | Professional | 53 · Discontinued | $234.42 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,096.48 Typical High $1,412.54 | Professional | 54 · Surgery only | $870.96 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $218.78 Typical High $281.84 | Professional | 55 · Aftercare only | $173.78 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $147.91 Typical High $190.55 | Professional | 56 · Pre-op care only | $117.49 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,023.29 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $812.83 | $1,023.29 | $1,318.26 |
Where Kansas sits
The same service costs 6.2 times more in Alaska 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· 18th of 51
$1,738
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.