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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $81.28 | Professional | None | $24.55 | $52.48 | $81.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $72.44 | Professional | None | $35.48 | $35.48 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $380.19 | Facility | None | $52.48 | $52.48 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $95.50 | Professional | None | $30.20 | $61.66 | $95.50 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $158.49 Typical High $1,258.93 | Facility | None | $47.86 | $158.49 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $1,445.44 | Professional | None | $60.26 | $75.86 | $1,445.44 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $83.18 | Professional | None | $30.90 | $60.26 | $83.18 |
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 $12.30 Median $19.05 Typical High $40.74 | Professional | 52 · Reduced service | $12.30 | $19.05 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.59 Typical High $16.22 | Professional | 53 · Discontinued | $4.90 | $7.59 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $28.84 Typical High $61.66 | Professional | 54 · Surgery only | $18.62 | $28.84 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $5.75 Typical High $12.30 | Professional | 55 · Aftercare only | $3.72 | $5.75 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.80 Typical High $8.13 | Professional | 56 · Pre-op care only | $2.45 | $3.80 | $8.13 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 15th of 51
$66.07
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.