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 $1,819.70 Median $3,715.35 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,715.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,288.25 | $1,380.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Facility | None | $17,782.79 | $17,782.79 | $17,782.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $13,803.84 Typical High $16,982.44 | Facility | None | $602.56 | $13,803.84 | $16,982.44 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $7,943.28 Typical High $31,622.78 | Facility | None | $1,348.96 | $7,943.28 | $31,622.78 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $10,715.19 | Professional | None | $1,348.96 | $2,137.96 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $26,915.35 | Facility | None | $1,348.96 | $8,128.31 | $26,915.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,949.84 | $2,344.23 |
5 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 $616.60 Median $645.65 Typical High $691.83 | Professional | 52 · Reduced service | $616.60 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $257.04 Typical High $275.42 | Professional | 53 · Discontinued | $245.47 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $954.99 Typical High $1,023.29 | Professional | 54 · Surgery only | $933.25 | $954.99 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $194.98 Typical High $204.17 | Professional | 55 · Aftercare only | $186.21 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $128.82 Typical High $138.04 | Professional | 56 · Pre-op care only | $123.03 | $128.82 | $138.04 |
Where Kansas sits
The same service costs 6.9 times more in Arkansas than in Kentucky. 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· 27th of 51
$1,950
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.