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 $2,398.83 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,398.83 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $2,344.23 Typical High $3,801.89 | Professional | None | $169.82 | $2,344.23 | $3,801.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,011.87 Median $7,079.46 Typical High $7,413.10 | Facility | None | $5,011.87 | $7,079.46 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $3,981.07 | Professional | None | $251.19 | $251.19 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $5,370.32 Typical High $5,754.40 | Facility | None | $691.83 | $5,370.32 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $2,511.89 Typical High $4,677.35 | Professional | None | $177.83 | $2,511.89 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,238.72 Typical High $10,964.78 | Facility | None | $54.95 | $2,238.72 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $3,890.45 Typical High $18,620.87 | Professional | None | $1,258.93 | $3,890.45 | $18,620.87 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $204.17 Median $2,398.83 Typical High $4,466.84 | Professional | None | $204.17 | $2,398.83 | $4,466.84 |
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 $85.11 Median $1,122.02 Typical High $1,905.46 | Professional | 52 · Reduced service | $85.11 | $1,122.02 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $446.68 Typical High $758.58 | Professional | 53 · Discontinued | $33.88 | $446.68 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $1,659.59 Typical High $2,818.38 | Professional | 54 · Surgery only | $128.82 | $1,659.59 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $331.13 Typical High $562.34 | Professional | 55 · Aftercare only | $25.70 | $331.13 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $223.87 Typical High $380.19 | Professional | 56 · Pre-op care only | $16.98 | $223.87 | $380.19 |
Where Kansas sits
The same service costs 33.1 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· 4th of 51
$3,890
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.