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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $501.19 Typical High $870.96 | Professional | None | $194.98 | $501.19 | $870.96 |
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 $208.93 Median $208.93 Typical High $660.69 | Professional | None | $208.93 | $208.93 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $549.54 Typical High $870.96 | Professional | None | $173.78 | $549.54 | $870.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $457.09 Typical High $1,288.25 | Facility | None | $54.95 | $457.09 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,890.45 | Professional | None | $616.60 | $2,041.74 | $3,890.45 |
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 $169.82 Median $398.11 Typical High $812.83 | Professional | None | $169.82 | $398.11 | $812.83 |
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 $97.72 Median $125.89 Typical High $436.52 | Professional | 52 · Reduced service | $97.72 | $125.89 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $50.12 Typical High $173.78 | Professional | 53 · Discontinued | $38.90 | $50.12 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $190.55 Typical High $660.69 | Professional | 54 · Surgery only | $147.91 | $190.55 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $38.02 Typical High $131.83 | Professional | 55 · Aftercare only | $29.51 | $38.02 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $25.12 Typical High $87.10 | Professional | 56 · Pre-op care only | $19.50 | $25.12 | $87.10 |
Where Kansas sits
The same service costs 3.5 times more in Wisconsin 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· 6th of 51
$646
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.