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 $1,949.84 Median $5,128.61 Typical High $10,715.19 | Facility | None | $1,949.84 | $5,128.61 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $501.19 | Professional | None | $371.54 | $389.05 | $501.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $8,709.64 Typical High $10,471.29 | Facility | None | $575.44 | $8,709.64 | $10,471.29 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $4,786.30 Typical High $17,378.01 | Facility | None | $338.84 | $4,786.30 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $3,162.28 | Professional | None | $363.08 | $489.78 | $3,162.28 |
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 $371.54 Median $489.78 Typical High $691.83 | Professional | None | $371.54 | $489.78 | $691.83 |
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 $186.21 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 54 · Surgery only | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $40.74 |
Where Kansas sits
The same service costs 16.2 times more in Arkansas than in West 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· 35th of 51
$692
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.