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 $416.87 Median $2,754.23 Typical High $7,943.28 | Facility | None | $416.87 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $218.78 Typical High $398.11 | Professional | None | $117.49 | $218.78 | $398.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,951.21 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $346.74 | Professional | None | $173.78 | $173.78 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $281.84 Typical High $380.19 | Professional | None | $125.89 | $281.84 | $380.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $478.63 Typical High $2,570.40 | Facility | None | $54.95 | $478.63 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $954.99 Typical High $2,630.27 | Professional | None | $295.12 | $954.99 | $2,630.27 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,584.89 Typical High $2,884.03 | Facility | None | $602.56 | $1,584.89 | $2,884.03 |
United Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $363.08 | Professional | None | $138.04 | $263.03 | $363.08 |
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 $58.88 Median $100.00 Typical High $199.53 | Professional | 52 · Reduced service | $58.88 | $100.00 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $79.43 | Professional | 53 · Discontinued | $23.44 | $39.81 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $147.91 Typical High $302.00 | Professional | 54 · Surgery only | $87.10 | $147.91 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $30.20 Typical High $60.26 | Professional | 55 · Aftercare only | $17.38 | $30.20 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $19.95 Typical High $39.81 | Professional | 56 · Pre-op care only | $11.75 | $19.95 | $39.81 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Virginia. 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
$339
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.