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 $812.83 Median $1,122.02 Typical High $1,318.26 | Professional | None | $812.83 | $1,122.02 | $1,318.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
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 $891.25 Median $1,318.26 Typical High $1,905.46 | Professional | None | $891.25 | $1,318.26 | $1,905.46 |
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 $933.25 Median $1,122.02 Typical High $7,079.46 | Professional | None | $933.25 | $1,122.02 | $7,079.46 |
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 $933.25 Median $1,071.52 Typical High $1,737.80 | Professional | None | $933.25 | $1,071.52 | $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 $398.11 Median $562.34 Typical High $660.69 | Professional | 52 · Reduced service | $398.11 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $223.87 Typical High $263.03 | Professional | 53 · Discontinued | $162.18 | $223.87 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $851.14 Typical High $1,000.00 | Professional | 54 · Surgery only | $602.56 | $851.14 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $120.23 | $169.82 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $112.20 Typical High $131.83 | Professional | 56 · Pre-op care only | $81.28 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $794.33 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $562.34 | $794.33 | $933.25 |
Where Kansas sits
The same service costs 7.2 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· 15th of 51
$1,698
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.