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 $281.84 Median $346.74 Typical High $436.52 | Professional | None | $281.84 | $346.74 | $436.52 |
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 $549.54 Median $549.54 Typical High $724.44 | Professional | None | $549.54 | $549.54 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $389.05 | Facility | None | $199.53 | $269.15 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $724.44 | Professional | None | $323.59 | $467.74 | $724.44 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $407.38 Typical High $1,380.38 | Facility | None | $54.95 | $407.38 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $851.14 Typical High $2,884.03 | Professional | None | $380.19 | $851.14 | $2,884.03 |
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 $295.12 Median $380.19 Typical High $660.69 | Professional | None | $295.12 | $380.19 | $660.69 |
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 $141.25 Median $169.82 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $67.61 Typical High $87.10 | Professional | 53 · Discontinued | $56.23 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $251.19 Typical High $323.59 | Professional | 54 · Surgery only | $213.80 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $50.12 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $33.88 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.18 | $33.88 | $43.65 |
Where Kansas sits
The same service costs 2.9 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· 25th of 51
$437
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.