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 $524.81 Median $2,754.23 Typical High $7,943.28 | Facility | None | $524.81 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $234.42 Typical High $407.38 | Professional | None | $58.88 | $234.42 | $407.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $281.84 | Facility | None | $263.03 | $275.42 | $281.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $407.38 | Professional | None | $64.57 | $64.57 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $323.59 Typical High $501.19 | Professional | None | $52.48 | $323.59 | $501.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $416.87 Typical High $1,288.25 | Facility | None | $54.95 | $416.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $933.25 Typical High $2,290.87 | Professional | None | $371.54 | $933.25 | $2,290.87 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $52.48 Median $239.88 Typical High $467.74 | Professional | None | $52.48 | $239.88 | $467.74 |
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 $30.20 Median $39.81 Typical High $204.17 | Professional | 52 · Reduced service | $30.20 | $39.81 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.22 Typical High $81.28 | Professional | 53 · Discontinued | $12.30 | $16.22 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $60.26 Typical High $302.00 | Professional | 54 · Surgery only | $45.71 | $60.26 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.02 Typical High $60.26 | Professional | 55 · Aftercare only | $9.12 | $12.02 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.94 Typical High $40.74 | Professional | 56 · Pre-op care only | $6.03 | $7.94 | $40.74 |
Where Kansas sits
The same service costs 4.9 times more in Iowa than in Nebraska. 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
$355
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.