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 $208.93 Median $4,677.35 Typical High $9,549.93 | Facility | None | $208.93 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $147.91 Typical High $208.93 | Professional | None | $91.20 | $147.91 | $208.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $199.53 | Professional | None | $144.54 | $144.54 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $489.78 | Facility | None | $371.54 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $251.19 | Professional | None | $100.00 | $154.88 | $251.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $416.87 Typical High $1,905.46 | Facility | None | $54.95 | $416.87 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $954.99 | Professional | None | $147.91 | $269.15 | $954.99 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $204.17 | Professional | None | $104.71 | $147.91 | $204.17 |
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 $45.71 Median $74.13 Typical High $102.33 | Professional | 52 · Reduced service | $45.71 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $29.51 Typical High $41.69 | Professional | 53 · Discontinued | $18.20 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $112.20 Typical High $154.88 | Professional | 54 · Surgery only | $67.61 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $22.39 Typical High $30.90 | Professional | 55 · Aftercare only | $13.49 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.79 Typical High $20.89 | Professional | 56 · Pre-op care only | $9.12 | $14.79 | $20.89 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 16th of 51
$200
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.