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 $389.05 Median $4,677.35 Typical High $9,549.93 | Facility | None | $389.05 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $218.78 | Professional | None | $186.21 | $213.80 | $218.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | None | $446.68 | $446.68 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $229.09 | Facility | None | $158.49 | $199.53 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $436.52 | Professional | None | $199.53 | $288.40 | $436.52 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,288.25 | Facility | None | $54.95 | $316.23 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $1,513.56 | Professional | None | $194.98 | $257.04 | $1,513.56 |
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 $194.98 Median $229.09 Typical High $338.84 | Professional | None | $194.98 | $229.09 | $338.84 |
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 $91.20 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $91.20 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $158.49 Typical High $162.18 | Professional | 54 · Surgery only | $138.04 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $33.11 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $21.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.62 | $21.38 | $21.88 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 16th of 51
$309
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.