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 $97.72 Median $147.91 Typical High $218.78 | Professional | None | $97.72 | $147.91 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $281.84 | Professional | None | $125.89 | $125.89 | $281.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $100.00 Median $338.84 Typical High $354.81 | Facility | None | $100.00 | $338.84 | $354.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | None | $169.82 | $169.82 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $389.05 | Facility | None | $95.50 | $107.15 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $251.19 | Professional | None | $104.71 | $154.88 | $251.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $234.42 Typical High $1,288.25 | Facility | None | $54.95 | $234.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $1,122.02 | Professional | None | $151.36 | $309.03 | $1,122.02 |
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 $112.20 Median $154.88 Typical High $223.87 | Professional | None | $112.20 | $154.88 | $223.87 |
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 $48.98 Median $72.44 Typical High $109.65 | Professional | 52 · Reduced service | $48.98 | $72.44 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.84 Typical High $43.65 | Professional | 53 · Discontinued | $19.95 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $109.65 Typical High $162.18 | Professional | 54 · Surgery only | $74.13 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $21.88 Typical High $32.36 | Professional | 55 · Aftercare only | $14.79 | $21.88 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $14.45 Typical High $21.88 | Professional | 56 · Pre-op care only | $9.77 | $14.45 | $21.88 |
Where Kansas sits
The same service costs 3.2 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· 9th of 51
$214
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.