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 $3,890.45 Typical High $8,912.51 | Facility | None | $1,174.90 | $3,890.45 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | None | $478.63 | $602.56 | $741.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,548.82 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,548.82 | $1,621.81 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $6,760.83 Typical High $7,079.46 | Facility | None | $676.08 | $6,760.83 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $1,023.29 | Professional | None | $489.78 | $724.44 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,995.26 Typical High $11,220.18 | Facility | None | $54.95 | $1,995.26 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $3,388.44 | Professional | None | $537.03 | $630.96 | $3,388.44 |
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 $501.19 Median $616.60 Typical High $891.25 | Professional | None | $501.19 | $616.60 | $891.25 |
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 $239.88 Median $302.00 Typical High $371.54 | Professional | 52 · Reduced service | $239.88 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $120.23 Typical High $151.36 | Professional | 53 · Discontinued | $95.50 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $457.09 Typical High $562.34 | Professional | 54 · Surgery only | $363.08 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $91.20 Typical High $112.20 | Professional | 55 · Aftercare only | $72.44 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $60.26 Typical High $74.13 | Professional | 56 · Pre-op care only | $47.86 | $60.26 | $74.13 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in New York. 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
$1,288
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.