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 $61.66 Median $2,754.23 Typical High $7,943.28 | Facility | None | $61.66 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $83.18 | Professional | None | $35.48 | $56.23 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $47.86 Typical High $53.70 | Professional | None | $20.89 | $47.86 | $53.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $35.48 Median $346.74 Typical High $371.54 | Facility | None | $35.48 | $346.74 | $371.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | None | $58.88 | $58.88 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $173.78 Typical High $389.05 | Facility | None | $38.02 | $173.78 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $81.28 | Professional | None | $38.90 | $63.10 | $81.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,318.26 | Facility | None | $54.95 | $186.21 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $263.03 Typical High $398.11 | Professional | None | $58.88 | $263.03 | $398.11 |
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 $42.66 Median $56.23 Typical High $79.43 | Professional | None | $42.66 | $56.23 | $79.43 |
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 $17.78 Median $28.18 Typical High $41.69 | Professional | 52 · Reduced service | $17.78 | $28.18 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $11.22 Typical High $16.60 | Professional | 53 · Discontinued | $7.08 | $11.22 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $41.69 Typical High $63.10 | Professional | 54 · Surgery only | $26.92 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $8.32 Typical High $12.59 | Professional | 55 · Aftercare only | $5.37 | $8.32 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.62 Typical High $8.32 | Professional | 56 · Pre-op care only | $3.55 | $5.62 | $8.32 |
Where Kansas sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$67.61
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.