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 $933.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $933.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $537.03 Typical High $933.25 | Professional | None | $173.78 | $537.03 | $933.25 |
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 $199.53 Median $199.53 Typical High $776.25 | Professional | None | $199.53 | $199.53 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $602.56 Typical High $1,096.48 | Professional | None | $154.88 | $602.56 | $1,096.48 |
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 $724.44 Median $2,187.76 Typical High $4,265.80 | Professional | None | $724.44 | $2,187.76 | $4,265.80 |
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 $162.18 Median $457.09 Typical High $933.25 | Professional | None | $162.18 | $457.09 | $933.25 |
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 $89.13 Median $114.82 Typical High $467.74 | Professional | 52 · Reduced service | $89.13 | $114.82 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $46.77 Typical High $186.21 | Professional | 53 · Discontinued | $35.48 | $46.77 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $173.78 Typical High $707.95 | Professional | 54 · Surgery only | $134.90 | $173.78 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $34.67 Typical High $141.25 | Professional | 55 · Aftercare only | $26.92 | $34.67 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $22.91 Typical High $93.33 | Professional | 56 · Pre-op care only | $17.78 | $22.91 | $93.33 |
Where Kansas sits
The same service costs 3.8 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
$708
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.