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 $154.88 Median $208.93 Typical High $208.93 | Professional | None | $154.88 | $208.93 | $208.93 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $389.05 | Facility | None | $269.15 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $269.15 | Professional | None | $141.25 | $234.42 | $269.15 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $323.59 Typical High $1,348.96 | Facility | None | $61.66 | $323.59 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $1,737.80 | Professional | None | $141.25 | $223.87 | $1,737.80 |
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 $131.83 Median $199.53 Typical High $213.80 | Professional | None | $131.83 | $199.53 | $213.80 |
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 $77.62 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $30.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $154.88 Typical High $154.88 | Professional | 54 · Surgery only | $117.49 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $23.44 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $15.49 | $20.89 | $20.89 |
Where Kansas sits
The same service costs 5.1 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· 15th of 51
$200
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.