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 $26.30 Median $58.88 Typical High $93.33 | Professional | None | $26.30 | $58.88 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $645.65 | Facility | None | $602.56 | $602.56 | $645.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $104.71 | Professional | None | $47.86 | $47.86 | $104.71 |
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 $33.11 Median $72.44 Typical High $100.00 | Professional | None | $33.11 | $72.44 | $100.00 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,380.38 | Facility | None | $54.95 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $524.81 | Professional | None | $72.44 | $97.72 | $524.81 |
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 $33.11 Median $70.79 Typical High $104.71 | Professional | None | $33.11 | $70.79 | $104.71 |
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 $13.18 Median $20.89 Typical High $46.77 | Professional | 52 · Reduced service | $13.18 | $20.89 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $8.32 Typical High $18.62 | Professional | 53 · Discontinued | $5.25 | $8.32 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $30.90 Typical High $70.79 | Professional | 54 · Surgery only | $19.95 | $30.90 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $6.17 Typical High $14.13 | Professional | 55 · Aftercare only | $3.98 | $6.17 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.17 Typical High $9.33 | Professional | 56 · Pre-op care only | $2.63 | $4.17 | $9.33 |
Where Kansas sits
The same service costs 3.3 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· 5th of 51
$100
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.