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 $2,089.30 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,089.30 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,659.59 | $2,137.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,801.89 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $5,495.41 Typical High $5,623.41 | Facility | None | $645.65 | $5,495.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,905.46 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,202.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $9,772.37 | Professional | None | $1,380.38 | $1,698.24 | $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 $1,584.89 Typical High $2,137.96 | Professional | None | $1,348.96 | $1,584.89 | $2,137.96 |
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 $660.69 Median $831.76 Typical High $1,071.52 | Professional | 52 · Reduced service | $660.69 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $331.13 Typical High $426.58 | Professional | 53 · Discontinued | $263.03 | $331.13 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,230.27 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,000.00 | $1,230.27 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $245.47 Typical High $316.23 | Professional | 55 · Aftercare only | $199.53 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $165.96 Typical High $213.80 | Professional | 56 · Pre-op care only | $131.83 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,148.15 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $933.25 | $1,148.15 | $1,479.11 |
Where Kansas sits
The same service costs 11.0 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· 22nd of 51
$1,905
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.