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 $190.55 Median $1,778.28 Typical High $2,691.53 | Professional | None | $190.55 | $1,778.28 | $2,691.53 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $2,691.53 | Professional | None | $218.78 | $218.78 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,235.94 Typical High $24,547.09 | Facility | None | $676.08 | $3,235.94 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $1,778.28 Typical High $3,235.94 | Professional | None | $165.96 | $1,778.28 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,818.38 Typical High $15,488.17 | Facility | None | $54.95 | $2,818.38 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $12,302.69 | Professional | None | $1,905.46 | $2,630.27 | $12,302.69 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $190.55 Median $1,445.44 Typical High $2,818.38 | Professional | None | $190.55 | $1,445.44 | $2,818.38 |
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 $95.50 Median $794.33 Typical High $1,348.96 | Professional | 52 · Reduced service | $95.50 | $794.33 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $316.23 Typical High $537.03 | Professional | 53 · Discontinued | $38.90 | $316.23 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $1,174.90 Typical High $2,041.74 | Professional | 54 · Surgery only | $144.54 | $1,174.90 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $234.42 Typical High $407.38 | Professional | 55 · Aftercare only | $28.84 | $234.42 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $158.49 Typical High $269.15 | Professional | 56 · Pre-op care only | $19.05 | $158.49 | $269.15 |
Where Kansas sits
The same service costs 11.2 times more in Oklahoma than in Hawaii. 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
$2,455
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.