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 $102.33 Median $2,511.89 Typical High $7,943.28 | Facility | None | $102.33 | $2,511.89 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $97.72 Typical High $151.36 | Professional | None | $58.88 | $97.72 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $162.18 | Professional | None | $85.11 | $95.50 | $162.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $346.74 Typical High $371.54 | Facility | None | $70.79 | $346.74 | $371.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | None | $87.10 | $87.10 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $173.78 Typical High $446.68 | Facility | None | $66.07 | $173.78 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $114.82 Typical High $141.25 | Professional | None | $66.07 | $114.82 | $141.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,096.48 | Facility | None | $54.95 | $199.53 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $436.52 Typical High $741.31 | Professional | None | $109.65 | $436.52 | $741.31 |
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 $70.79 Median $100.00 Typical High $138.04 | Professional | None | $70.79 | $100.00 | $138.04 |
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 $29.51 Median $45.71 Typical High $75.86 | Professional | 52 · Reduced service | $29.51 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $18.20 Typical High $30.20 | Professional | 53 · Discontinued | $11.75 | $18.20 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $69.18 Typical High $114.82 | Professional | 54 · Surgery only | $44.67 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $13.80 Typical High $22.91 | Professional | 55 · Aftercare only | $8.91 | $13.80 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $9.12 Typical High $15.14 | Professional | 56 · Pre-op care only | $5.89 | $9.12 | $15.14 |
Where Kansas sits
The same service costs 3.7 times more in Alaska 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· 14th of 51
$123
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.