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 $6,918.31 Typical High $13,803.84 | Facility | None | $2,398.83 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,584.89 | $1,862.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $1,258.93 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,819.70 | $2,630.27 |
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 $1,318.26 Median $1,548.82 Typical High $9,549.93 | Professional | None | $1,318.26 | $1,548.82 | $9,549.93 |
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 $1,288.25 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,479.11 | $2,398.83 |
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 $562.34 Median $794.33 Typical High $933.25 | Professional | 52 · Reduced service | $562.34 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $316.23 Typical High $371.54 | Professional | 53 · Discontinued | $223.87 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,174.90 Typical High $1,380.38 | Professional | 54 · Surgery only | $851.14 | $1,174.90 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $234.42 Typical High $275.42 | Professional | 55 · Aftercare only | $169.82 | $234.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $158.49 Typical High $186.21 | Professional | 56 · Pre-op care only | $112.20 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,096.48 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $794.33 | $1,096.48 | $1,288.25 |
Where Kansas sits
The same service costs 6.2 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· 18th of 51
$2,042
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.