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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,698.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $323.59 | Professional | None | $173.78 | $208.93 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $3,090.30 Typical High $3,311.31 | Facility | None | $1,174.90 | $3,090.30 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $436.52 | Professional | None | $199.53 | $281.84 | $436.52 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,187.76 Typical High $8,709.64 | Facility | None | $54.95 | $2,187.76 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $43,651.58 | Professional | None | $199.53 | $245.47 | $43,651.58 |
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 $199.53 Median $218.78 Typical High $363.08 | Professional | None | $199.53 | $218.78 | $363.08 |
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 $87.10 Median $104.71 Typical High $162.18 | Professional | 52 · Reduced service | $87.10 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $66.07 | Professional | 53 · Discontinued | $35.48 | $41.69 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $158.49 Typical High $245.47 | Professional | 54 · Surgery only | $131.83 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $31.62 Typical High $48.98 | Professional | 55 · Aftercare only | $26.30 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $20.89 Typical High $32.36 | Professional | 56 · Pre-op care only | $17.38 | $20.89 | $32.36 |
Where Kansas sits
The same service costs 10.2 times more in Oklahoma 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· 22nd of 51
$324
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.