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 $2,398.83 Median $7,244.36 Typical High $13,803.84 | Facility | None | $2,398.83 | $7,244.36 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,479.11 | Professional | None | $891.25 | $1,258.93 | $1,479.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,311.31 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $3,981.07 Typical High $4,168.69 | Facility | None | $1,174.90 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,479.11 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,148.15 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $7,585.78 | Professional | None | $1,071.52 | $1,288.25 | $7,585.78 |
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 $1,047.13 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,202.26 | $1,905.46 |
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 $446.68 Median $630.96 Typical High $741.31 | Professional | 52 · Reduced service | $446.68 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $251.19 Typical High $295.12 | Professional | 53 · Discontinued | $177.83 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $933.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $676.08 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $186.21 Typical High $218.78 | Professional | 55 · Aftercare only | $134.90 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $125.89 Typical High $147.91 | Professional | 56 · Pre-op care only | $89.13 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $870.96 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $630.96 | $870.96 | $1,023.29 |
Where Kansas sits
The same service costs 7.2 times more in Oklahoma 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
$2,399
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.