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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $104.71 Typical High $154.88 | Professional | None | $61.66 | $104.71 | $154.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $79.43 Median $288.40 Typical High $302.00 | Facility | None | $79.43 | $288.40 | $302.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | None | $70.79 | $70.79 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $107.15 Typical High $389.05 | Facility | None | $81.28 | $107.15 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $190.55 | Professional | None | $58.88 | $102.33 | $190.55 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,288.25 | Facility | None | $54.95 | $199.53 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $199.53 Typical High $724.44 | Professional | None | $104.71 | $199.53 | $724.44 |
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 $57.54 Median $100.00 Typical High $162.18 | Professional | None | $57.54 | $100.00 | $162.18 |
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 $30.90 Median $45.71 Typical High $77.62 | Professional | 52 · Reduced service | $30.90 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $18.20 Typical High $30.90 | Professional | 53 · Discontinued | $12.30 | $18.20 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $67.61 Typical High $117.49 | Professional | 54 · Surgery only | $45.71 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $13.49 Typical High $23.44 | Professional | 55 · Aftercare only | $9.12 | $13.49 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $9.12 Typical High $15.49 | Professional | 56 · Pre-op care only | $6.17 | $9.12 | $15.49 |
Where Kansas sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 14th of 51
$126
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.