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 $208.93 Median $4,677.35 Typical High $9,549.93 | Facility | None | $208.93 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $208.93 | Professional | None | $64.57 | $104.71 | $208.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $131.83 | Facility | None | $70.79 | $74.13 | $131.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $190.55 | Professional | None | $104.71 | $104.71 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $144.54 | Facility | None | $100.00 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $223.87 | Professional | None | $79.43 | $158.49 | $223.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $213.80 Typical High $1,288.25 | Facility | None | $54.95 | $213.80 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $1,148.15 | Professional | None | $125.89 | $173.78 | $1,148.15 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $194.98 | Professional | None | $77.62 | $125.89 | $194.98 |
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 $32.36 Median $50.12 Typical High $102.33 | Professional | 52 · Reduced service | $32.36 | $50.12 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.42 Typical High $41.69 | Professional | 53 · Discontinued | $12.88 | $20.42 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $75.86 Typical High $154.88 | Professional | 54 · Surgery only | $47.86 | $75.86 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $15.14 Typical High $30.90 | Professional | 55 · Aftercare only | $9.55 | $15.14 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $10.23 Typical High $20.89 | Professional | 56 · Pre-op care only | $6.46 | $10.23 | $20.89 |
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· 32nd of 51
$132
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.