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 $1,000.00 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $316.23 | Professional | None | $120.23 | $194.98 | $316.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $154.88 Median $436.52 Typical High $457.09 | Facility | None | $154.88 | $436.52 | $457.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None | $302.00 | $302.00 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $389.05 | Facility | None | $151.36 | $251.19 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $354.81 | Professional | None | $123.03 | $208.93 | $354.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,380.38 | Facility | None | $54.95 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $407.38 Typical High $1,778.28 | Professional | None | $223.87 | $407.38 | $1,778.28 |
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 $151.36 Median $218.78 Typical High $309.03 | Professional | None | $151.36 | $218.78 | $309.03 |
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 $97.72 Typical High $158.49 | Professional | 52 · Reduced service | $60.26 | $97.72 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $38.90 Typical High $63.10 | Professional | 53 · Discontinued | $23.99 | $38.90 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $147.91 Typical High $234.42 | Professional | 54 · Surgery only | $91.20 | $147.91 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $29.51 Typical High $47.86 | Professional | 55 · Aftercare only | $18.20 | $29.51 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $19.50 Typical High $31.62 | Professional | 56 · Pre-op care only | $12.02 | $19.50 | $31.62 |
Where Kansas sits
The same service costs 3.0 times more in Wisconsin than in Maryland. 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· 8th of 51
$302
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.