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 $1,348.96 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,348.96 | $1,862.09 | $2,344.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,778.28 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,778.28 | $1,862.09 | $1,862.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $2,398.83 | Facility | None | $645.65 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $1,698.24 | Professional | None | $1,148.15 | $1,621.81 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,454.71 Typical High $26,302.68 | Facility | None | $831.76 | $2,454.71 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $9,120.11 | Professional | None | $1,122.02 | $1,548.82 | $9,120.11 |
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 $1,096.48 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,412.54 | $1,737.80 |
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 $933.25 Typical High $1,174.90 | Professional | 52 · Reduced service | $676.08 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $371.54 Typical High $478.63 | Professional | 53 · Discontinued | $269.15 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,380.38 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,023.29 | $1,380.38 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $275.42 Typical High $354.81 | Professional | 55 · Aftercare only | $204.17 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $186.21 Typical High $234.42 | Professional | 56 · Pre-op care only | $134.90 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,288.25 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $954.99 | $1,288.25 | $1,659.59 |
Where Kansas sits
The same service costs 7.6 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· 18th of 51
$1,778
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.