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 $131.83 Median $1,949.84 Typical High $7,943.28 | Facility | None | $131.83 | $1,949.84 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $251.19 | Professional | None | $83.18 | $162.18 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $275.42 | Professional | None | $154.88 | $169.82 | $275.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $676.08 | Facility | None | $467.74 | $645.65 | $676.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $389.05 | Professional | None | $154.88 | $154.88 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $467.74 Typical High $467.74 | Facility | None | $66.07 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $616.60 | Professional | None | $89.13 | $181.97 | $616.60 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $15,135.61 | Facility | None | $123.03 | $380.19 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $676.08 Typical High $2,238.72 | Professional | None | $186.21 | $676.08 | $2,238.72 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $81.28 Median $158.49 Typical High $251.19 | Professional | None | $81.28 | $158.49 | $251.19 |
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 $41.69 Median $66.07 Typical High $125.89 | Professional | 52 · Reduced service | $41.69 | $66.07 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $26.30 Typical High $50.12 | Professional | 53 · Discontinued | $16.60 | $26.30 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $100.00 Typical High $190.55 | Professional | 54 · Surgery only | $63.10 | $100.00 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.95 Typical High $38.02 | Professional | 55 · Aftercare only | $12.59 | $19.95 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $13.18 Typical High $25.12 | Professional | 56 · Pre-op care only | $8.32 | $13.18 | $25.12 |
Where Kansas sits
The same service costs 3.9 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· 9th of 51
$229
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.