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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $691.83 | Professional | None | $524.81 | $691.83 | $691.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $2,041.74 | Facility | None | $446.68 | $602.56 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $776.25 | Professional | None | $467.74 | $630.96 | $776.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $812.83 Typical High $4,466.84 | Facility | None | $54.95 | $812.83 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $2,951.21 | Professional | None | $478.63 | $676.08 | $2,951.21 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $912.01 | Professional | None | $478.63 | $676.08 | $912.01 |
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 $263.03 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $263.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $389.05 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $77.62 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $52.48 | $69.18 | $69.18 |
Where Kansas sits
The same service costs 4.1 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· 20th of 51
$676
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.