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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $45.71 Typical High $79.43 | Professional | None | $23.44 | $45.71 | $79.43 |
BCBS Kansas Setting Facility Modifier None Typical Low $46.77 Median $263.03 Typical High $281.84 | Facility | None | $46.77 | $263.03 | $281.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | None | $41.69 | $41.69 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $56.23 | Facility | None | $44.67 | $50.12 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $77.62 | Professional | None | $29.51 | $54.95 | $77.62 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $165.96 Typical High $1,380.38 | Facility | None | $50.12 | $165.96 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $446.68 | Professional | None | $53.70 | $64.57 | $446.68 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $29.51 Median $53.70 Typical High $74.13 | Professional | None | $29.51 | $53.70 | $74.13 |
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 $11.75 Median $18.62 Typical High $39.81 | Professional | 52 · Reduced service | $11.75 | $18.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.41 Typical High $15.85 | Professional | 53 · Discontinued | $4.68 | $7.41 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $28.18 Typical High $58.88 | Professional | 54 · Surgery only | $17.38 | $28.18 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $5.62 Typical High $12.02 | Professional | 55 · Aftercare only | $3.47 | $5.62 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.72 Typical High $7.94 | Professional | 56 · Pre-op care only | $2.34 | $3.72 | $7.94 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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
$72.44
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.