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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $60.26 Typical High $120.23 | Professional | None | $24.55 | $60.26 | $120.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $83.18 Median $234.42 Typical High $251.19 | Facility | None | $83.18 | $234.42 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $100.00 | Professional | None | $37.15 | $37.15 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $91.20 | Facility | None | $63.10 | $89.13 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $74.13 Typical High $125.89 | Professional | None | $30.20 | $74.13 | $125.89 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,380.38 | Facility | None | $54.95 | $186.21 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $676.08 | Professional | None | $70.79 | $91.20 | $676.08 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $30.90 Median $69.18 Typical High $107.15 | Professional | None | $30.90 | $69.18 | $107.15 |
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 $12.30 Median $19.50 Typical High $60.26 | Professional | 52 · Reduced service | $12.30 | $19.50 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.76 Typical High $23.99 | Professional | 53 · Discontinued | $4.90 | $7.76 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $29.51 Typical High $89.13 | Professional | 54 · Surgery only | $18.20 | $29.51 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $5.89 Typical High $17.78 | Professional | 55 · Aftercare only | $3.63 | $5.89 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.89 Typical High $12.02 | Professional | 56 · Pre-op care only | $2.45 | $3.89 | $12.02 |
Where Kansas sits
The same service costs 3.5 times more in Alaska 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· 8th of 51
$97.72
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.