How much rates vary
Facilitymedian $467,735 · 10th to 90th $436,516 to $467,735Professionalmedian $602,560 · 10th to 90th $501,187 to $1,000,000
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 $575,439.94 Median $602,559.59 Typical High $691,830.97 | Facility | None | $575,439.94 | $602,559.59 | $691,830.97 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $602,559.59 Typical High $691,830.97 | Professional | None | $512,861.38 | $602,559.59 | $691,830.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $301,995.17 Typical High $346,736.85 | Professional | 52 · Reduced service | $257,039.58 | $301,995.17 | $346,736.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $120,226.44 Typical High $138,038.43 | Professional | 53 · Discontinued | $102,329.30 | $120,226.44 | $138,038.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $91,201.08 Typical High $104,712.85 | Professional | 55 · Aftercare only | $75,857.76 | $91,201.08 | $104,712.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $60,255.96 Typical High $69,183.10 | Professional | 56 · Pre-op care only | $51,286.14 | $60,255.96 | $69,183.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $436,515.83 Median $467,735.14 Typical High $467,735.14 | Facility | None | $436,515.83 | $467,735.14 | $467,735.14 |
BCBS Kansas Setting Professional Modifier None Typical Low $501,187.23 Median $501,187.23 Typical High $501,187.23 | Professional | None | $501,187.23 | $501,187.23 | $501,187.23 |
Medica Setting Facility Modifier None Typical Low $457,088.19 Median $524,807.46 Typical High $691,830.97 | Facility | None | $457,088.19 | $524,807.46 | $691,830.97 |
Medica Setting Professional Modifier None Typical Low $1,000,000.00 Median $1,000,000.00 Typical High $1,000,000.00 | Professional | None | $1,000,000.00 | $1,000,000.00 | $1,000,000.00 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Facility | None | $512,861.38 | $512,861.38 | $512,861.38 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $588,843.66 Typical High $588,843.66 | Professional | None | $489,778.82 | $588,843.66 | $588,843.66 |
Where Kansas sits
The same service costs 2.0 times more in Texas than in New Jersey. 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· 14th of 51
$549,541
TX $1,000,000NJ $489,779
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.