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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $741.31 Typical High $1,318.26 | Professional | None | $218.78 | $741.31 | $1,318.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $575.44 Median $602.56 Typical High $602.56 | Facility | None | $575.44 | $602.56 | $602.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,148.15 | Professional | None | $316.23 | $316.23 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $851.14 Typical High $1,258.93 | Professional | None | $234.42 | $851.14 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,445.44 Typical High $6,309.57 | Facility | None | $54.95 | $1,445.44 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $3,090.30 Typical High $6,165.95 | Professional | None | $954.99 | $3,090.30 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,168.69 Typical High $8,709.64 | Facility | None | $1,905.46 | $4,168.69 | $8,709.64 |
United Setting Professional Modifier None Typical Low $239.88 Median $794.33 Typical High $1,202.26 | Professional | None | $239.88 | $794.33 | $1,202.26 |
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 $109.65 Median $173.78 Typical High $660.69 | Professional | 52 · Reduced service | $109.65 | $173.78 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $69.18 Typical High $263.03 | Professional | 53 · Discontinued | $43.65 | $69.18 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $263.03 Typical High $1,000.00 | Professional | 54 · Surgery only | $162.18 | $263.03 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $52.48 Typical High $199.53 | Professional | 55 · Aftercare only | $32.36 | $52.48 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $34.67 Typical High $131.83 | Professional | 56 · Pre-op care only | $21.88 | $34.67 | $131.83 |
Where Kansas sits
The same service costs 5.4 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· 10th of 51
$955
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.