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 $323.59 Median $2,754.23 Typical High $7,943.28 | Facility | None | $323.59 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $288.40 | Professional | None | $72.44 | $138.04 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $316.23 | Facility | None | $302.00 | $316.23 | $316.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $323.59 | Professional | None | $141.25 | $141.25 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $194.98 Typical High $281.84 | Professional | None | $81.28 | $194.98 | $281.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $295.12 Typical High $1,288.25 | Facility | None | $54.95 | $295.12 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $741.31 Typical High $2,511.89 | Professional | None | $199.53 | $741.31 | $2,511.89 |
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 $81.28 Median $173.78 Typical High $263.03 | Professional | None | $81.28 | $173.78 | $263.03 |
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 $36.31 Median $56.23 Typical High $144.54 | Professional | 52 · Reduced service | $36.31 | $56.23 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $22.91 Typical High $58.88 | Professional | 53 · Discontinued | $14.45 | $22.91 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $85.11 Typical High $218.78 | Professional | 54 · Surgery only | $53.70 | $85.11 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $16.98 Typical High $43.65 | Professional | 55 · Aftercare only | $10.96 | $16.98 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $11.22 Typical High $28.84 | Professional | 56 · Pre-op care only | $7.24 | $11.22 | $28.84 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 7th of 51
$234
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.