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 $1,023.29 Median $2,691.53 Typical High $7,943.28 | Facility | None | $1,023.29 | $2,691.53 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $208.93 | Professional | None | $51.29 | $104.71 | $208.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $120.23 Median $776.25 Typical High $812.83 | Facility | None | $120.23 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $158.49 | Professional | None | $66.07 | $66.07 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $489.78 Typical High $489.78 | Facility | None | $141.25 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $128.82 Typical High $194.98 | Professional | None | $52.48 | $128.82 | $194.98 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $416.87 Typical High $1,737.80 | Facility | None | $87.10 | $416.87 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $489.78 Typical High $954.99 | Professional | None | $123.03 | $489.78 | $954.99 |
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 $50.12 Median $102.33 Typical High $151.36 | Professional | None | $50.12 | $102.33 | $151.36 |
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 $25.70 Median $48.98 Typical High $104.71 | Professional | 52 · Reduced service | $25.70 | $48.98 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $19.50 Typical High $42.66 | Professional | 53 · Discontinued | $10.23 | $19.50 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $72.44 Typical High $158.49 | Professional | 54 · Surgery only | $38.02 | $72.44 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $14.79 Typical High $31.62 | Professional | 55 · Aftercare only | $7.59 | $14.79 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $9.77 Typical High $20.89 | Professional | 56 · Pre-op care only | $5.13 | $9.77 | $20.89 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Washington, DC. 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
$145
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.