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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | None | $67.61 | $83.18 | $104.71 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $549.54 | Facility | None | $323.59 | $537.03 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $120.23 | Professional | None | $46.77 | $77.62 | $120.23 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $331.13 Typical High $1,698.24 | Facility | None | $54.95 | $331.13 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $575.44 | Professional | None | $77.62 | $85.11 | $575.44 |
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 $79.43 Typical High $134.90 | Professional | None | $77.62 | $79.43 | $134.90 |
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 $33.88 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $33.88 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.60 Typical High $20.89 | Professional | 53 · Discontinued | $13.80 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $63.10 Typical High $79.43 | Professional | 54 · Surgery only | $51.29 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.59 Typical High $15.85 | Professional | 55 · Aftercare only | $10.23 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.32 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.92 | $8.32 | $10.47 |
Where Kansas sits
The same service costs 5.5 times more in Arkansas 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
$105
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.