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 $4,677.35 Typical High $9,549.93 | Facility | None | $181.97 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $181.97 | Professional | None | $53.70 | $100.00 | $181.97 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $117.49 | Facility | None | $70.79 | $74.13 | $117.49 |
BCBS Kansas Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $169.82 | Professional | None | $91.20 | $138.04 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $123.03 | Facility | None | $85.11 | $120.23 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $194.98 | Professional | None | $69.18 | $144.54 | $194.98 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $194.98 Typical High $1,380.38 | Facility | None | $54.95 | $194.98 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $1,023.29 | Professional | None | $114.82 | $158.49 | $1,023.29 |
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 $67.61 Median $109.65 Typical High $173.78 | Professional | None | $67.61 | $109.65 | $173.78 |
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 $26.92 Median $41.69 Typical High $91.20 | Professional | 52 · Reduced service | $26.92 | $41.69 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $16.98 Typical High $36.31 | Professional | 53 · Discontinued | $10.72 | $16.98 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $63.10 Typical High $138.04 | Professional | 54 · Surgery only | $39.81 | $63.10 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $12.59 Typical High $27.54 | Professional | 55 · Aftercare only | $7.94 | $12.59 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $8.51 Typical High $18.20 | Professional | 56 · Pre-op care only | $5.37 | $8.51 | $18.20 |
Where Kansas sits
The same service costs 3.1 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· 34th of 51
$117
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.