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 $83.18 Median $2,754.23 Typical High $7,943.28 | Facility | None | $83.18 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $48.98 Typical High $77.62 | Professional | None | $25.70 | $48.98 | $77.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $251.19 | Facility | None | $234.42 | $251.19 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $70.79 | Professional | None | $40.74 | $40.74 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Facility | None | $41.69 | $41.69 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $79.43 | Professional | None | $32.36 | $54.95 | $79.43 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $165.96 Typical High $1,380.38 | Facility | None | $51.29 | $165.96 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $426.58 | Professional | None | $53.70 | $63.10 | $426.58 |
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 $31.62 Median $53.70 Typical High $74.13 | Professional | None | $31.62 | $53.70 | $74.13 |
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 $12.59 Median $19.95 Typical High $38.90 | Professional | 52 · Reduced service | $12.59 | $19.95 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $7.94 Typical High $15.49 | Professional | 53 · Discontinued | $5.13 | $7.94 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $30.20 Typical High $57.54 | Professional | 54 · Surgery only | $19.05 | $30.20 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $6.03 Typical High $11.48 | Professional | 55 · Aftercare only | $3.80 | $6.03 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.98 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.51 | $3.98 | $7.76 |
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· 8th of 51
$70.79
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.