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 $954.99 Median $1,288.25 Typical High $1,659.59 | Professional | None | $954.99 | $1,288.25 | $1,659.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,290.87 | $2,398.83 | $2,398.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,398.83 Typical High $2,511.89 | Facility | None | $524.81 | $2,398.83 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $1,202.26 | Professional | None | $758.58 | $1,122.02 | $1,202.26 |
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 $758.58 Median $1,071.52 Typical High $6,456.54 | Professional | None | $758.58 | $1,071.52 | $6,456.54 |
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 $724.44 Median $954.99 Typical High $1,174.90 | Professional | None | $724.44 | $954.99 | $1,174.90 |
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 $478.63 Median $645.65 Typical High $831.76 | Professional | 52 · Reduced service | $478.63 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $190.55 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $707.95 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $141.25 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $128.82 Typical High $165.96 | Professional | 56 · Pre-op care only | $95.50 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $660.69 | $912.01 | $1,174.90 |
Where Kansas sits
The same service costs 8.3 times more in Wyoming 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· 7th of 51
$1,660
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.