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 $63.10 Median $199.53 Typical High $316.23 | Professional | None | $63.10 | $199.53 | $316.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $645.65 | Facility | None | $616.60 | $645.65 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $398.11 | Professional | None | $120.23 | $120.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,041.74 | Facility | None | $380.19 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $275.42 Typical High $467.74 | Professional | None | $89.13 | $275.42 | $467.74 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $380.19 Typical High $1,380.38 | Facility | None | $107.15 | $380.19 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $1,737.80 | Professional | None | $281.84 | $588.84 | $1,737.80 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $85.11 Median $234.42 Typical High $416.87 | Professional | None | $85.11 | $234.42 | $416.87 |
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 $31.62 Median $87.10 Typical High $154.88 | Professional | 52 · Reduced service | $31.62 | $87.10 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $34.67 Typical High $63.10 | Professional | 53 · Discontinued | $12.59 | $34.67 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $131.83 Typical High $234.42 | Professional | 54 · Surgery only | $46.77 | $131.83 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $26.30 Typical High $46.77 | Professional | 55 · Aftercare only | $9.33 | $26.30 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $17.38 Typical High $31.62 | Professional | 56 · Pre-op care only | $6.31 | $17.38 | $31.62 |
Where Kansas sits
The same service costs 4.5 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· 6th of 51
$380
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.