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 $7.94 Median $2,754.23 Typical High $7,943.28 | Facility | None | $7.94 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $5.62 Typical High $8.91 | Professional | None | $1.78 | $5.62 | $8.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $12.88 | Professional | None | $5.62 | $5.62 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $380.19 | Facility | None | $6.03 | $6.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.62 Typical High $15.85 | Professional | None | $2.51 | $5.62 | $15.85 |
Medica Setting Facility Modifier None Typical Low $7.24 Median $158.49 Typical High $1,258.93 | Facility | None | $7.24 | $158.49 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $186.21 | Professional | None | $6.03 | $10.47 | $186.21 |
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 $2.19 Median $6.03 Typical High $11.48 | Professional | None | $2.19 | $6.03 | $11.48 |
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 $0.87 Median $1.41 Typical High $4.47 | Professional | 52 · Reduced service | $0.87 | $1.41 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.56 Typical High $1.78 | Professional | 53 · Discontinued | $0.35 | $0.56 | $1.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.32 Median $2.14 Typical High $6.76 | Professional | 54 · Surgery only | $1.32 | $2.14 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.42 Typical High $1.35 | Professional | 55 · Aftercare only | $0.26 | $0.42 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.28 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.17 | $0.28 | $0.89 |
Where Kansas sits
The same service costs 3.0 times more in Alaska than in Nebraska. 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· 10th of 51
$7.76
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.