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 $173.78 Median $2,691.53 Typical High $7,943.28 | Facility | None | $173.78 | $2,691.53 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $89.13 Typical High $186.21 | Professional | None | $43.65 | $89.13 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | None | $117.49 | $117.49 | $123.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $134.90 Median $141.25 Typical High $147.91 | Facility | None | $134.90 | $141.25 | $147.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $144.54 | Professional | None | $58.88 | $58.88 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $100.00 Typical High $165.96 | Professional | None | $43.65 | $100.00 | $165.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $446.68 Typical High $870.96 | Professional | None | $102.33 | $446.68 | $870.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $125.89 | Professional | None | $41.69 | $85.11 | $125.89 |
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 $21.88 Median $41.69 Typical High $93.33 | Professional | 52 · Reduced service | $21.88 | $41.69 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $16.60 Typical High $37.15 | Professional | 53 · Discontinued | $8.71 | $16.60 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $32.36 Median $61.66 Typical High $141.25 | Professional | 54 · Surgery only | $32.36 | $61.66 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $12.30 Typical High $28.18 | Professional | 55 · Aftercare only | $6.46 | $12.30 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $8.32 Typical High $18.62 | Professional | 56 · Pre-op care only | $4.37 | $8.32 | $18.62 |
Where Kansas sits
The same service costs 3.4 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
$120
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.