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 $89.13 Median $2,511.89 Typical High $7,943.28 | Facility | None | $89.13 | $2,511.89 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $177.83 | Professional | None | $51.29 | $100.00 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
BCBS Kansas Setting Facility Modifier None Typical Low $100.00 Median $346.74 Typical High $363.08 | Facility | None | $100.00 | $346.74 | $363.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | None | $95.50 | $95.50 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $436.52 | Facility | None | $107.15 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $186.21 | Professional | None | $74.13 | $138.04 | $186.21 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,288.25 | Facility | None | $54.95 | $199.53 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $812.83 Typical High $1,023.29 | Professional | None | $123.03 | $812.83 | $1,023.29 |
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 $58.88 Median $107.15 Typical High $147.91 | Professional | None | $58.88 | $107.15 | $147.91 |
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 $25.70 Median $40.74 Typical High $89.13 | Professional | 52 · Reduced service | $25.70 | $40.74 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $16.22 Typical High $35.48 | Professional | 53 · Discontinued | $10.23 | $16.22 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $61.66 Typical High $131.83 | Professional | 54 · Surgery only | $38.90 | $61.66 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.30 Typical High $26.30 | Professional | 55 · Aftercare only | $7.76 | $12.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.13 Typical High $17.78 | Professional | 56 · Pre-op care only | $5.13 | $8.13 | $17.78 |
Where Kansas sits
The same service costs 3.4 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· 10th of 51
$138
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.