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 $416.87 Median $4,677.35 Typical High $9,549.93 | Facility | None | $416.87 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $223.87 Typical High $416.87 | Professional | None | $144.54 | $223.87 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | None | $194.98 | $194.98 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $213.80 | Facility | None | $147.91 | $204.17 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $398.11 | Professional | None | $154.88 | $275.42 | $398.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $323.59 Typical High $1,288.25 | Facility | None | $54.95 | $323.59 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $1,071.52 Typical High $1,949.84 | Professional | None | $251.19 | $1,071.52 | $1,949.84 |
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 $151.36 Median $239.88 Typical High $338.84 | Professional | None | $151.36 | $239.88 | $338.84 |
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 $72.44 Median $112.20 Typical High $208.93 | Professional | 52 · Reduced service | $72.44 | $112.20 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $83.18 | Professional | 53 · Discontinued | $29.51 | $44.67 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $169.82 Typical High $309.03 | Professional | 54 · Surgery only | $109.65 | $169.82 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $33.88 Typical High $63.10 | Professional | 55 · Aftercare only | $21.88 | $33.88 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $22.39 Typical High $41.69 | Professional | 56 · Pre-op care only | $14.45 | $22.39 | $41.69 |
Where Kansas sits
The same service costs 4.1 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· 16th of 51
$288
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.