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 $2,570.40 Median $5,128.61 Typical High $10,715.19 | Facility | None | $2,570.40 | $5,128.61 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,235.94 Typical High $5,754.40 | Professional | None | $3,162.28 | $3,235.94 | $5,754.40 |
BCBS Kansas Setting Professional Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $9,772.37 Typical High $11,748.98 | Facility | None | $575.44 | $9,772.37 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,202.26 | $7,762.47 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $11,220.18 Median $15,848.93 Typical High $47,863.01 | Professional | None | $11,220.18 | $15,848.93 | $47,863.01 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $10,715.19 Median $15,848.93 Typical High $21,877.62 | Professional | None | $10,715.19 | $15,848.93 | $21,877.62 |
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 $1,584.89 Median $1,621.81 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,584.89 | $1,621.81 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $645.65 Typical High $776.25 | Professional | 53 · Discontinued | $630.96 | $645.65 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,454.71 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,344.23 | $2,454.71 | $2,951.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $489.78 Typical High $588.84 | Professional | 55 · Aftercare only | $467.74 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $323.59 Typical High $389.05 | Professional | 56 · Pre-op care only | $316.23 | $323.59 | $389.05 |
Where Kansas sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 25th of 51
$10,715
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.