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 $1,122.02 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,412.54 | $1,819.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,495.41 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,495.41 | $5,888.44 | $5,888.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $3,090.30 Typical High $6,165.95 | Facility | None | $524.81 | $3,090.30 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,737.80 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $16,218.10 | Facility | None | $1,148.15 | $2,951.21 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $8,128.31 | Professional | None | $1,202.26 | $1,445.44 | $8,128.31 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,148.15 | $1,318.26 | $1,819.70 |
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 $562.34 Median $691.83 Typical High $891.25 | Professional | 52 · Reduced service | $562.34 | $691.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $281.84 Typical High $363.08 | Professional | 53 · Discontinued | $223.87 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,047.13 Typical High $1,348.96 | Professional | 54 · Surgery only | $831.76 | $1,047.13 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $208.93 Typical High $269.15 | Professional | 55 · Aftercare only | $165.96 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $141.25 Typical High $181.97 | Professional | 56 · Pre-op care only | $112.20 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $977.24 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $776.25 | $977.24 | $1,258.93 |
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· 20th 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.