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 $95.50 Median $4,677.35 Typical High $9,549.93 | Facility | None | $95.50 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $107.15 | Professional | None | $45.71 | $70.79 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $48.98 Median $239.88 Typical High $251.19 | Facility | None | $48.98 | $239.88 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $114.82 | Professional | None | $72.44 | $72.44 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $56.23 | Facility | None | $43.65 | $52.48 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $123.03 | Professional | None | $47.86 | $75.86 | $123.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $549.54 | Professional | None | $74.13 | $144.54 | $549.54 |
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 $52.48 Median $74.13 Typical High $107.15 | Professional | None | $52.48 | $74.13 | $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 $22.91 Median $33.11 Typical High $52.48 | Professional | 52 · Reduced service | $22.91 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.18 Typical High $21.38 | Professional | 53 · Discontinued | $9.12 | $13.18 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $50.12 Typical High $79.43 | Professional | 54 · Surgery only | $33.88 | $50.12 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.00 Typical High $15.85 | Professional | 55 · Aftercare only | $6.76 | $10.00 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.61 Typical High $10.72 | Professional | 56 · Pre-op care only | $4.57 | $6.61 | $10.72 |
Where Kansas sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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· 7th 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.