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 $213.80 Median $295.12 Typical High $295.12 | Professional | None | $213.80 | $295.12 | $295.12 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
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 $162.18 Median $234.42 Typical High $251.19 | Professional | None | $162.18 | $234.42 | $251.19 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $331.13 Typical High $1,348.96 | Facility | None | $61.66 | $331.13 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $1,698.24 | Professional | None | $147.91 | $302.00 | $1,698.24 |
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 $134.90 Median $263.03 Typical High $281.84 | Professional | None | $134.90 | $263.03 | $281.84 |
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 $107.15 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $107.15 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $42.66 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $162.18 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $43.65 Typical High $44.67 | Professional | 55 · Aftercare only | $32.36 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $21.38 | $29.51 | $29.51 |
Where Kansas sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$251
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.