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 $28.18 Median $41.69 Typical High $53.70 | Professional | None | $28.18 | $41.69 | $53.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | None | $58.88 | $58.88 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $446.68 | Facility | None | $21.88 | $21.88 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $72.44 | Professional | None | $30.90 | $44.67 | $72.44 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $158.49 Typical High $1,258.93 | Facility | None | $51.29 | $158.49 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $83.18 Typical High $501.19 | Professional | None | $42.66 | $83.18 | $501.19 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $63.10 | Professional | None | $33.11 | $42.66 | $63.10 |
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 $14.13 Median $20.89 Typical High $26.92 | Professional | 52 · Reduced service | $14.13 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $8.32 Typical High $10.72 | Professional | 53 · Discontinued | $5.62 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $30.90 Typical High $40.74 | Professional | 54 · Surgery only | $21.38 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $6.17 Typical High $8.13 | Professional | 55 · Aftercare only | $4.27 | $6.17 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.17 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.82 | $4.17 | $5.37 |
Where Kansas sits
The same service costs 3.3 times more in Alaska 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· 11th of 51
$58.88
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.