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 $181.97 Median $2,754.23 Typical High $7,943.28 | Facility | None | $181.97 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $128.82 Typical High $204.17 | Professional | None | $48.98 | $128.82 | $204.17 |
BCBS Kansas Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $645.65 | Facility | None | $123.03 | $602.56 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $218.78 | Professional | None | $89.13 | $89.13 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $151.36 Typical High $676.08 | Facility | None | $138.04 | $151.36 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $151.36 Typical High $204.17 | Professional | None | $61.66 | $151.36 | $204.17 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $575.44 Typical High $2,089.30 | Facility | None | $54.95 | $575.44 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $1,148.15 | Professional | None | $151.36 | $204.17 | $1,148.15 |
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 $60.26 Median $138.04 Typical High $218.78 | Professional | None | $60.26 | $138.04 | $218.78 |
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 $24.55 Median $38.02 Typical High $102.33 | Professional | 52 · Reduced service | $24.55 | $38.02 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $15.49 Typical High $40.74 | Professional | 53 · Discontinued | $9.77 | $15.49 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $57.54 Typical High $151.36 | Professional | 54 · Surgery only | $36.31 | $57.54 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $11.48 Typical High $30.90 | Professional | 55 · Aftercare only | $7.41 | $11.48 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $7.59 Typical High $20.42 | Professional | 56 · Pre-op care only | $4.90 | $7.59 | $20.42 |
Where Kansas sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 5th of 51
$204
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.