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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $87.10 | Professional | None | $63.10 | $85.11 | $87.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $323.59 Typical High $380.19 | Facility | None | $275.42 | $323.59 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $109.65 | Professional | None | $54.95 | $97.72 | $109.65 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $316.23 Typical High $1,348.96 | Facility | None | $61.66 | $316.23 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $478.63 | Professional | None | $58.88 | $91.20 | $478.63 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $87.10 | Professional | None | $52.48 | $79.43 | $87.10 |
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 $31.62 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $31.62 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $12.59 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | 54 · Surgery only | $47.86 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $9.55 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.51 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.31 | $8.51 | $8.71 |
Where Kansas sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$81.28
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.