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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $245.47 | Professional | None | $64.57 | $138.04 | $245.47 |
BCBS Kansas Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $416.87 | Facility | None | $389.05 | $416.87 | $416.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $263.03 | Professional | None | $117.49 | $117.49 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $257.04 | Professional | None | $66.07 | $154.88 | $257.04 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $239.88 Typical High $1,288.25 | Facility | None | $54.95 | $239.88 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $707.95 Typical High $2,951.21 | Professional | None | $165.96 | $707.95 | $2,951.21 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $223.87 | Professional | None | $67.61 | $144.54 | $223.87 |
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 $32.36 Median $51.29 Typical High $123.03 | Professional | 52 · Reduced service | $32.36 | $51.29 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.42 Typical High $48.98 | Professional | 53 · Discontinued | $12.88 | $20.42 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $77.62 Typical High $186.21 | Professional | 54 · Surgery only | $47.86 | $77.62 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $18.20 Typical High $37.15 | Professional | 55 · Aftercare only | $9.55 | $18.20 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $12.30 Typical High $24.55 | Professional | 56 · Pre-op care only | $6.46 | $12.30 | $24.55 |
Where Kansas sits
The same service costs 3.7 times more in Wisconsin than in Maryland. 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· 8th of 51
$200
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.