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 $147.91 Median $2,754.23 Typical High $7,943.28 | Facility | None | $147.91 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $120.23 | Professional | None | $34.67 | $79.43 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $66.07 Median $295.12 Typical High $309.03 | Facility | None | $66.07 | $295.12 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $107.15 | Professional | None | $53.70 | $53.70 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $77.62 Typical High $81.28 | Facility | None | $57.54 | $77.62 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $81.28 Typical High $144.54 | Professional | None | $33.88 | $81.28 | $144.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,318.26 | Facility | None | $54.95 | $186.21 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $158.49 Typical High $660.69 | Professional | None | $81.28 | $158.49 | $660.69 |
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 $34.67 Median $74.13 Typical High $125.89 | Professional | None | $34.67 | $74.13 | $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 $17.38 Median $34.67 Typical High $60.26 | Professional | 52 · Reduced service | $17.38 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $14.13 Typical High $23.99 | Professional | 53 · Discontinued | $6.92 | $14.13 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $52.48 Typical High $91.20 | Professional | 54 · Surgery only | $26.30 | $52.48 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $10.47 Typical High $18.20 | Professional | 55 · Aftercare only | $5.25 | $10.47 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $6.92 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.47 | $6.92 | $12.02 |
Where Kansas sits
The same service costs 3.1 times more in Wisconsin than in Nebraska. 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· 9th of 51
$107
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.