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 $74.13 Median $138.04 Typical High $213.80 | Professional | None | $74.13 | $138.04 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None | $218.78 | $218.78 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $131.83 Median $1,096.48 Typical High $1,148.15 | Facility | None | $131.83 | $1,096.48 | $1,148.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $186.21 | Professional | None | $104.71 | $104.71 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $389.05 | Facility | None | $125.89 | $144.54 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $229.09 | Professional | None | $75.86 | $144.54 | $229.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $416.87 Typical High $2,454.71 | Facility | None | $54.95 | $416.87 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $1,148.15 | Professional | None | $147.91 | $302.00 | $1,148.15 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $79.43 Median $144.54 Typical High $199.53 | Professional | None | $79.43 | $144.54 | $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 $37.15 Median $58.88 Typical High $107.15 | Professional | 52 · Reduced service | $37.15 | $58.88 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $23.44 Typical High $42.66 | Professional | 53 · Discontinued | $14.79 | $23.44 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $89.13 Typical High $162.18 | Professional | 54 · Surgery only | $54.95 | $89.13 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $17.78 Typical High $32.36 | Professional | 55 · Aftercare only | $11.22 | $17.78 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $11.75 Typical High $21.38 | Professional | 56 · Pre-op care only | $7.41 | $11.75 | $21.38 |
Where Kansas sits
The same service costs 3.3 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· 11th of 51
$186
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.