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 $134.90 Median $251.19 Typical High $426.58 | Professional | None | $134.90 | $251.19 | $426.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $263.03 Median $1,288.25 Typical High $1,348.96 | Facility | None | $263.03 | $1,288.25 | $1,348.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | None | $323.59 | $323.59 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $588.84 Typical High $602.56 | Facility | None | $257.04 | $588.84 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $467.74 | Professional | None | $138.04 | $281.84 | $467.74 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $407.38 Typical High $16,218.10 | Facility | None | $162.18 | $407.38 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $588.84 Typical High $2,344.23 | Professional | None | $269.15 | $588.84 | $2,344.23 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $398.11 | Professional | None | $162.18 | $269.15 | $398.11 |
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 $67.61 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $67.61 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $50.12 Typical High $87.10 | Professional | 53 · Discontinued | $26.92 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $186.21 Typical High $323.59 | Professional | 54 · Surgery only | $102.33 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $38.02 Typical High $64.57 | Professional | 55 · Aftercare only | $20.42 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $25.12 Typical High $42.66 | Professional | 56 · Pre-op care only | $13.49 | $25.12 | $42.66 |
Where Kansas sits
The same service costs 3.1 times more in Wisconsin 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· 9th of 51
$380
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.