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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $181.97 | Professional | None | $89.13 | $131.83 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
BCBS Kansas Setting Facility Modifier None Typical Low $85.11 Median $1,445.44 Typical High $1,548.82 | Facility | None | $85.11 | $1,445.44 | $1,548.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | None | $144.54 | $144.54 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $389.05 | Facility | None | $81.28 | $91.20 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $223.87 | Professional | None | $93.33 | $138.04 | $223.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,380.38 | Facility | None | $54.95 | $199.53 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $933.25 | Professional | None | $123.03 | $257.04 | $933.25 |
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 $100.00 Median $125.89 Typical High $199.53 | Professional | None | $100.00 | $125.89 | $199.53 |
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 $44.67 Median $66.07 Typical High $91.20 | Professional | 52 · Reduced service | $44.67 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $26.30 Typical High $36.31 | Professional | 53 · Discontinued | $17.78 | $26.30 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $97.72 Typical High $134.90 | Professional | 54 · Surgery only | $67.61 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $19.50 Typical High $26.92 | Professional | 55 · Aftercare only | $13.49 | $19.50 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $13.18 Typical High $18.20 | Professional | 56 · Pre-op care only | $8.91 | $13.18 | $18.20 |
Where Kansas sits
The same service costs 3.7 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
$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.