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 $1,698.24 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $1,380.38 Typical High $2,041.74 | Professional | None | $154.88 | $1,380.38 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $380.19 Median $407.38 Typical High $1,174.90 | Facility | None | $380.19 | $407.38 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $1,819.70 | Professional | None | $141.25 | $141.25 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,479.11 Typical High $1,548.82 | Facility | None | $707.95 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $1,584.89 Typical High $2,511.89 | Professional | None | $131.83 | $1,584.89 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $891.25 Typical High $3,801.89 | Facility | None | $54.95 | $891.25 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $9,332.54 | Professional | None | $1,698.24 | $2,344.23 | $9,332.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $151.36 Median $1,202.26 Typical High $2,344.23 | Professional | None | $151.36 | $1,202.26 | $2,344.23 |
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 $588.84 Typical High $1,023.29 | Professional | 52 · Reduced service | $77.62 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $239.88 Typical High $407.38 | Professional | 53 · Discontinued | $30.90 | $239.88 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $891.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $114.82 | $891.25 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $177.83 Typical High $309.03 | Professional | 55 · Aftercare only | $22.91 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $120.23 Typical High $204.17 | Professional | 56 · Pre-op care only | $15.49 | $120.23 | $204.17 |
Where Kansas sits
The same service costs 10.5 times more in Alaska 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· 41st of 51
$1,148
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.