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 $3,715.35 Typical High $8,317.64 | Facility | None | $1,698.24 | $3,715.35 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $389.05 | Professional | None | $141.25 | $281.84 | $389.05 |
BCBS Kansas Setting Facility Modifier None Typical Low $549.54 Median $575.44 Typical High $575.44 | Facility | None | $549.54 | $575.44 | $575.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | None | $158.49 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $891.25 | Facility | None | $524.81 | $812.83 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $263.03 Typical High $363.08 | Professional | None | $120.23 | $263.03 | $363.08 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $630.96 Typical High $16,218.10 | Facility | None | $190.55 | $630.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $380.19 Typical High $1,698.24 | Professional | None | $190.55 | $380.19 | $1,698.24 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Facility | None | $331.13 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $389.05 | Professional | None | $117.49 | $199.53 | $389.05 |
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 $70.79 Median $109.65 Typical High $194.98 | Professional | 52 · Reduced service | $70.79 | $109.65 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $44.67 Typical High $77.62 | Professional | 53 · Discontinued | $28.18 | $44.67 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $165.96 Typical High $288.40 | Professional | 54 · Surgery only | $107.15 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $33.11 Typical High $57.54 | Professional | 55 · Aftercare only | $21.38 | $33.11 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $22.39 Typical High $38.90 | Professional | 56 · Pre-op care only | $14.13 | $22.39 | $38.90 |
Where Kansas sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 6th of 51
$407
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.