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 $64.57 Median $131.83 Typical High $218.78 | Professional | None | $64.57 | $131.83 | $218.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $281.84 | Facility | None | $263.03 | $275.42 | $281.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $239.88 | Professional | None | $114.82 | $114.82 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $190.55 Typical High $281.84 | Professional | None | $83.18 | $190.55 | $281.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $223.87 Typical High $1,288.25 | Facility | None | $54.95 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $616.60 Typical High $1,737.80 | Professional | None | $169.82 | $616.60 | $1,737.80 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $229.09 | Professional | None | $79.43 | $169.82 | $229.09 |
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 $51.29 Typical High $109.65 | Professional | 52 · Reduced service | $32.36 | $51.29 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.42 Typical High $43.65 | Professional | 53 · Discontinued | $12.88 | $20.42 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $77.62 Typical High $162.18 | Professional | 54 · Surgery only | $48.98 | $77.62 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $15.49 Typical High $32.36 | Professional | 55 · Aftercare only | $9.77 | $15.49 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $10.23 Typical High $21.88 | Professional | 56 · Pre-op care only | $6.46 | $10.23 | $21.88 |
Where Kansas sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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
$214
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.