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 $363.08 Median $380.19 Typical High $407.38 | Professional | None | $363.08 | $380.19 | $407.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,818.38 Typical High $3,388.44 | Facility | None | $575.44 | $2,818.38 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,089.30 Typical High $8,317.64 | Facility | None | $630.96 | $2,089.30 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $2,570.40 | Professional | None | $426.58 | $537.03 | $2,570.40 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $616.60 | Professional | None | $371.54 | $426.58 | $616.60 |
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 $181.97 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $181.97 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $72.44 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $281.84 Typical High $302.00 | Professional | 54 · Surgery only | $275.42 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $54.95 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $36.31 | $38.02 | $40.74 |
Where Kansas sits
The same service costs 28.2 times more in Texas 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· 25th of 51
$457
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.