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 $2,290.87 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,290.87 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,513.56 | $1,905.46 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,412.54 | $1,479.11 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,548.82 Typical High $1,737.80 | Facility | None | $912.01 | $1,548.82 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,380.38 | Professional | None | $977.24 | $1,318.26 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,778.28 Typical High $26,302.68 | Facility | None | $933.25 | $1,778.28 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $7,413.10 | Professional | None | $954.99 | $1,288.25 | $7,413.10 |
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 $933.25 Median $1,174.90 Typical High $1,380.38 | Professional | None | $933.25 | $1,174.90 | $1,380.38 |
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 $549.54 Median $758.58 Typical High $954.99 | Professional | 52 · Reduced service | $549.54 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $218.78 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,122.02 Typical High $1,445.44 | Professional | 54 · Surgery only | $812.83 | $1,122.02 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $223.87 Typical High $288.40 | Professional | 55 · Aftercare only | $165.96 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $151.36 Typical High $190.55 | Professional | 56 · Pre-op care only | $109.65 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,047.13 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $758.58 | $1,047.13 | $1,348.96 |
Where Kansas sits
The same service costs 7.2 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· 19th of 51
$1,413
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.