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 $104.71 Median $457.09 Typical High $616.60 | Professional | None | $104.71 | $457.09 | $616.60 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $588.84 | Professional | None | $134.90 | $134.90 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $676.08 | Facility | None | $389.05 | $416.87 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $436.52 Typical High $724.44 | Professional | None | $100.00 | $436.52 | $724.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $602.56 Typical High $2,089.30 | Facility | None | $54.95 | $602.56 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $2,691.53 | Professional | None | $489.78 | $660.69 | $2,691.53 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $114.82 Median $354.81 Typical High $676.08 | Professional | None | $114.82 | $354.81 | $676.08 |
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 $52.48 Median $177.83 Typical High $309.03 | Professional | 52 · Reduced service | $52.48 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $70.79 Typical High $123.03 | Professional | 53 · Discontinued | $20.89 | $70.79 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $269.15 Typical High $467.74 | Professional | 54 · Surgery only | $77.62 | $269.15 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $53.70 Typical High $91.20 | Professional | 55 · Aftercare only | $15.85 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $35.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $10.47 | $35.48 | $61.66 |
Where Kansas sits
The same service costs 7.8 times more in Oklahoma 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· 10th of 51
$525
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.