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 $1,023.29 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $426.58 | Professional | None | $120.23 | $245.47 | $426.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $1,348.96 | Facility | None | $676.08 | $1,288.25 | $1,348.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $389.05 | Professional | None | $269.15 | $269.15 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,202.26 Typical High $1,258.93 | Facility | None | $524.81 | $1,202.26 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $269.15 Typical High $446.68 | Professional | None | $123.03 | $269.15 | $446.68 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $912.01 Typical High $16,218.10 | Facility | None | $218.78 | $912.01 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $562.34 Typical High $1,995.26 | Professional | None | $245.47 | $562.34 | $1,995.26 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $380.19 | Professional | None | $134.90 | $245.47 | $380.19 |
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 $60.26 Median $123.03 Typical High $213.80 | Professional | 52 · Reduced service | $60.26 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $48.98 Typical High $85.11 | Professional | 53 · Discontinued | $23.99 | $48.98 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $186.21 Typical High $323.59 | Professional | 54 · Surgery only | $91.20 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $37.15 Typical High $64.57 | Professional | 55 · Aftercare only | $18.20 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $24.55 Typical High $42.66 | Professional | 56 · Pre-op care only | $12.02 | $24.55 | $42.66 |
Where Kansas sits
The same service costs 3.9 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· 5th of 51
$427
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.