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 $120.23 Median $4,677.35 Typical High $9,549.93 | Facility | None | $120.23 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $120.23 | Professional | None | $46.77 | $70.79 | $120.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $1,096.48 Typical High $1,148.15 | Facility | None | $64.57 | $1,096.48 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | None | $54.95 | $54.95 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $66.07 | Facility | None | $58.88 | $58.88 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $123.03 | Professional | None | $45.71 | $75.86 | $123.03 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $371.54 Typical High $11,481.54 | Facility | None | $75.86 | $371.54 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $977.24 | Professional | None | $75.86 | $147.91 | $977.24 |
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 $45.71 Median $72.44 Typical High $107.15 | Professional | None | $45.71 | $72.44 | $107.15 |
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 $23.44 Median $34.67 Typical High $60.26 | Professional | 52 · Reduced service | $23.44 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $13.80 Typical High $23.99 | Professional | 53 · Discontinued | $9.33 | $13.80 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $52.48 Typical High $89.13 | Professional | 54 · Surgery only | $35.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.47 Typical High $17.78 | Professional | 55 · Aftercare only | $7.08 | $10.47 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $6.92 Typical High $12.02 | Professional | 56 · Pre-op care only | $4.68 | $6.92 | $12.02 |
Where Kansas sits
The same service costs 3.4 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
$95.50
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.