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 $870.96 Median $4,677.35 Typical High $9,549.93 | Facility | None | $870.96 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $870.96 | Professional | None | $331.13 | $501.19 | $870.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $724.44 | Professional | None | $467.74 | $467.74 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,412.54 Typical High $1,548.82 | Facility | None | $912.01 | $1,412.54 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $691.83 | Professional | None | $295.12 | $457.09 | $691.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,047.13 Typical High $4,466.84 | Facility | None | $54.95 | $1,047.13 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $2,187.76 Typical High $3,388.44 | Professional | None | $489.78 | $2,187.76 | $3,388.44 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,570.88 | Facility | None | $831.76 | $1,737.80 | $4,570.88 |
United Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $616.60 | Professional | None | $295.12 | $457.09 | $616.60 |
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 $162.18 Median $245.47 Typical High $436.52 | Professional | 52 · Reduced service | $162.18 | $245.47 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $100.00 Typical High $173.78 | Professional | 53 · Discontinued | $66.07 | $100.00 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $371.54 Typical High $645.65 | Professional | 54 · Surgery only | $245.47 | $371.54 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $74.13 Typical High $128.82 | Professional | 55 · Aftercare only | $48.98 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $50.12 Typical High $87.10 | Professional | 56 · Pre-op care only | $33.11 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $346.74 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $229.09 | $346.74 | $602.56 |
Where Kansas sits
The same service costs 5.5 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· 12th of 51
$603
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.