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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $257.04 | Professional | None | $83.18 | $151.36 | $257.04 |
BCBS Kansas Setting Facility Modifier None Typical Low $138.04 Median $1,862.09 Typical High $1,995.26 | Facility | None | $138.04 | $1,862.09 | $1,995.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | None | $107.15 | $107.15 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $380.19 | Facility | None | $141.25 | $154.88 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $234.42 | Professional | None | $81.28 | $138.04 | $234.42 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $380.19 Typical High $11,481.54 | Facility | None | $117.49 | $380.19 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $295.12 Typical High $1,202.26 | Professional | None | $141.25 | $295.12 | $1,202.26 |
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 $81.28 Median $141.25 Typical High $194.98 | Professional | None | $81.28 | $141.25 | $194.98 |
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 $41.69 Median $74.13 Typical High $128.82 | Professional | 52 · Reduced service | $41.69 | $74.13 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $29.51 Typical High $51.29 | Professional | 53 · Discontinued | $16.60 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $112.20 Typical High $190.55 | Professional | 54 · Surgery only | $63.10 | $112.20 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $22.39 Typical High $38.02 | Professional | 55 · Aftercare only | $12.59 | $22.39 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $14.79 Typical High $25.70 | Professional | 56 · Pre-op care only | $8.32 | $14.79 | $25.70 |
Where Kansas sits
The same service costs 3.6 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
$174
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.