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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $93.33 | Professional | None | $58.88 | $87.10 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $151.36 | Professional | None | $102.33 | $102.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $676.08 | Facility | None | $52.48 | $72.44 | $676.08 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $380.19 Typical High $1,380.38 | Facility | None | $95.50 | $380.19 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $758.58 | Professional | None | $107.15 | $147.91 | $758.58 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $154.88 | Professional | None | $70.79 | $107.15 | $154.88 |
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 $28.84 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $28.84 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $11.75 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $61.66 Typical High $69.18 | Professional | 54 · Surgery only | $43.65 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.30 Typical High $13.80 | Professional | 55 · Aftercare only | $8.71 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.89 | $8.32 | $9.33 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 19th of 51
$129
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.