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 $51.29 Median $169.82 Typical High $309.03 | Professional | None | $51.29 | $169.82 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $309.03 | Professional | None | $93.33 | $93.33 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $2,691.53 | Facility | None | $380.19 | $446.68 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $190.55 Typical High $302.00 | Professional | None | $57.54 | $190.55 | $302.00 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $275.42 Typical High $1,258.93 | Facility | None | $54.95 | $275.42 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $794.33 Typical High $2,238.72 | Professional | None | $194.98 | $794.33 | $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 $57.54 Median $165.96 Typical High $257.04 | Professional | None | $57.54 | $165.96 | $257.04 |
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 $25.70 Median $39.81 Typical High $154.88 | Professional | 52 · Reduced service | $25.70 | $39.81 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $16.22 Typical High $61.66 | Professional | 53 · Discontinued | $10.23 | $16.22 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $60.26 Typical High $234.42 | Professional | 54 · Surgery only | $38.90 | $60.26 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.02 Typical High $46.77 | Professional | 55 · Aftercare only | $7.76 | $12.02 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.13 Typical High $30.90 | Professional | 56 · Pre-op care only | $5.13 | $8.13 | $30.90 |
Where Kansas sits
The same service costs 4.6 times more in Iowa 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· 5th 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.