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 $77.62 Median $257.04 Typical High $407.38 | Professional | None | $77.62 | $257.04 | $407.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $288.40 Median $616.60 Typical High $645.65 | Facility | None | $288.40 | $616.60 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $416.87 | Professional | None | $141.25 | $141.25 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $363.08 Typical High $602.56 | Facility | None | $309.03 | $363.08 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $295.12 Typical High $489.78 | Professional | None | $102.33 | $295.12 | $489.78 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $2,187.76 | Facility | None | $316.23 | $660.69 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $2,238.72 | Professional | None | $295.12 | $616.60 | $2,238.72 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $97.72 Median $251.19 Typical High $446.68 | Professional | None | $97.72 | $251.19 | $446.68 |
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 $38.90 Median $107.15 Typical High $204.17 | Professional | 52 · Reduced service | $38.90 | $107.15 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $43.65 Typical High $81.28 | Professional | 53 · Discontinued | $15.49 | $43.65 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $162.18 Typical High $302.00 | Professional | 54 · Surgery only | $57.54 | $162.18 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $32.36 Typical High $60.26 | Professional | 55 · Aftercare only | $11.48 | $32.36 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $21.88 Typical High $40.74 | Professional | 56 · Pre-op care only | $7.76 | $21.88 | $40.74 |
Where Kansas sits
The same service costs 4.3 times more in Oklahoma 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· 8th of 51
$407
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.