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 $2,884.03 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,884.03 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,318.26 | $1,862.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $8,511.38 Typical High $10,471.29 | Facility | None | $575.44 | $8,511.38 | $10,471.29 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $3,715.35 Typical High $15,488.17 | Facility | None | $954.99 | $3,715.35 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $11,481.54 | Professional | None | $1,698.24 | $2,041.74 | $11,481.54 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,621.81 | $1,862.09 | $2,818.38 |
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 $630.96 Median $660.69 Typical High $707.95 | Professional | 52 · Reduced service | $630.96 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $263.03 Typical High $281.84 | Professional | 53 · Discontinued | $257.04 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,000.00 Typical High $1,071.52 | Professional | 54 · Surgery only | $954.99 | $1,000.00 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $199.53 Typical High $213.80 | Professional | 55 · Aftercare only | $190.55 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $131.83 Typical High $141.25 | Professional | 56 · Pre-op care only | $128.82 | $131.83 | $141.25 |
Where Kansas sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 43rd of 51
$2,042
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.