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 $1,380.38 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,698.24 | $2,187.76 |
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $1,412.54 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,995.26 | $2,187.76 |
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 $1,479.11 Median $1,778.28 Typical High $10,715.19 | Professional | None | $1,479.11 | $1,778.28 | $10,715.19 |
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 $1,412.54 Median $1,621.81 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,621.81 | $2,238.72 |
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 $676.08 Median $851.14 Typical High $1,096.48 | Professional | 52 · Reduced service | $676.08 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $338.84 Typical High $436.52 | Professional | 53 · Discontinued | $275.42 | $338.84 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,288.25 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,023.29 | $1,288.25 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $257.04 Typical High $331.13 | Professional | 55 · Aftercare only | $204.17 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $169.82 Typical High $218.78 | Professional | 56 · Pre-op care only | $138.04 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,202.26 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $954.99 | $1,202.26 | $1,548.82 |
Where Kansas sits
The same service costs 7.2 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· 21st of 51
$1,995
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.