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 $107.15 Typical High $181.97 | Professional | None | $53.70 | $107.15 | $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 $89.13 Median $89.13 Typical High $154.88 | Professional | None | $89.13 | $89.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $128.82 | Facility | None | $89.13 | $117.49 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $186.21 | Professional | None | $67.61 | $134.90 | $186.21 |
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 $107.15 Median $151.36 Typical High $1,023.29 | Professional | None | $107.15 | $151.36 | $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 $66.07 Median $107.15 Typical High $169.82 | Professional | None | $66.07 | $107.15 | $169.82 |
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 $42.66 Typical High $91.20 | Professional | 52 · Reduced service | $26.92 | $42.66 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.98 Typical High $36.31 | Professional | 53 · Discontinued | $10.96 | $16.98 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $64.57 Typical High $134.90 | Professional | 54 · Surgery only | $40.74 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.88 Typical High $27.54 | Professional | 55 · Aftercare only | $8.13 | $12.88 | $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 3.2 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· 23rd 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.