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 $151.36 Median $4,677.35 Typical High $9,549.93 | Facility | None | $151.36 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $85.11 Typical High $151.36 | Professional | None | $38.90 | $85.11 | $151.36 |
BCBS Kansas Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $218.78 | Facility | None | $107.15 | $208.93 | $218.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $144.54 | Professional | None | $63.10 | $63.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $114.82 | Facility | None | $79.43 | $107.15 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $114.82 Typical High $154.88 | Professional | None | $48.98 | $114.82 | $154.88 |
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 $85.11 Median $125.89 Typical High $851.14 | Professional | None | $85.11 | $125.89 | $851.14 |
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 $46.77 Median $83.18 Typical High $144.54 | Professional | None | $46.77 | $83.18 | $144.54 |
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 $19.50 Median $30.90 Typical High $75.86 | Professional | 52 · Reduced service | $19.50 | $30.90 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.30 Typical High $30.20 | Professional | 53 · Discontinued | $7.76 | $12.30 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $45.71 Typical High $114.82 | Professional | 54 · Surgery only | $29.51 | $45.71 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $9.33 Typical High $22.91 | Professional | 55 · Aftercare only | $5.89 | $9.33 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $6.17 Typical High $15.14 | Professional | 56 · Pre-op care only | $3.89 | $6.17 | $15.14 |
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· 12th of 51
$120
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.