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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $1,621.81 Typical High $2,187.76 | Professional | None | $123.03 | $1,621.81 | $2,187.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $5,128.61 | Facility | None | $3,019.95 | $4,786.30 | $5,128.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $117.49 Median $1,412.54 Typical High $1,778.28 | Professional | None | $117.49 | $1,412.54 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,162.28 Typical High $3,311.31 | Facility | None | $676.08 | $3,162.28 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $1,862.09 Typical High $2,951.21 | Professional | None | $104.71 | $1,862.09 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $2,290.87 Typical High $11,481.54 | Facility | None | $181.97 | $2,290.87 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,884.03 Typical High $9,772.37 | Professional | None | $1,513.56 | $2,884.03 | $9,772.37 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,709.64 | Facility | None | $870.96 | $2,691.53 | $8,709.64 |
United Setting Professional Modifier None Typical Low $109.65 Median $1,258.93 Typical High $2,951.21 | Professional | None | $109.65 | $1,258.93 | $2,951.21 |
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 $61.66 Median $645.65 Typical High $1,096.48 | Professional | 52 · Reduced service | $61.66 | $645.65 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $257.04 Typical High $436.52 | Professional | 53 · Discontinued | $24.55 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $954.99 Typical High $1,659.59 | Professional | 54 · Surgery only | $93.33 | $954.99 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $190.55 Typical High $331.13 | Professional | 55 · Aftercare only | $18.62 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $128.82 Typical High $218.78 | Professional | 56 · Pre-op care only | $12.30 | $128.82 | $218.78 |
Where Kansas sits
The same service costs 19.1 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· 7th of 51
$2,188
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.