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 $1,174.90 Median $4,677.35 Typical High $10,715.19 | Facility | None | $1,174.90 | $4,677.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $2,884.03 Typical High $4,677.35 | Professional | None | $257.04 | $2,884.03 | $4,677.35 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $5,370.32 | Professional | None | $380.19 | $380.19 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,235.94 Typical High $3,388.44 | Facility | None | $707.95 | $3,235.94 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $3,162.28 Typical High $5,888.44 | Professional | None | $269.15 | $3,162.28 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $3,090.30 Typical High $7,762.47 | Facility | None | $660.69 | $3,090.30 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $4,073.80 Median $7,413.10 Typical High $22,908.68 | Professional | None | $4,073.80 | $7,413.10 | $22,908.68 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $6,760.83 | Facility | None | $691.83 | $2,290.87 | $6,760.83 |
United Setting Professional Modifier None Typical Low $302.00 Median $2,951.21 Typical High $5,623.41 | Professional | None | $302.00 | $2,951.21 | $5,623.41 |
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 $128.82 Median $1,380.38 Typical High $2,344.23 | Professional | 52 · Reduced service | $128.82 | $1,380.38 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $549.54 Typical High $933.25 | Professional | 53 · Discontinued | $51.29 | $549.54 | $933.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $2,041.74 Typical High $3,467.37 | Professional | 54 · Surgery only | $194.98 | $2,041.74 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $416.87 Typical High $707.95 | Professional | 55 · Aftercare only | $38.90 | $416.87 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $275.42 Typical High $467.74 | Professional | 56 · Pre-op care only | $25.70 | $275.42 | $467.74 |
Where Kansas sits
The same service costs 10.2 times more in Alaska than in Nebraska. 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
$3,548
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.