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 $67.61 Median $1,737.80 Typical High $7,762.47 | Facility | None | $67.61 | $1,737.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $120.23 | Professional | None | $40.74 | $72.44 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $53.70 Typical High $125.89 | Professional | None | $33.88 | $53.70 | $125.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $57.54 Median $812.83 Typical High $851.14 | Facility | None | $57.54 | $812.83 | $851.14 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | None | $93.33 | $93.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $436.52 Typical High $436.52 | Facility | None | $64.57 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $151.36 | Professional | None | $45.71 | $91.20 | $151.36 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $616.60 Typical High $15,135.61 | Facility | None | $131.83 | $616.60 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $724.44 Typical High $1,348.96 | Professional | None | $89.13 | $724.44 | $1,348.96 |
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 $51.29 Median $87.10 Typical High $125.89 | Professional | None | $51.29 | $87.10 | $125.89 |
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 $20.42 Median $33.88 Typical High $58.88 | Professional | 52 · Reduced service | $20.42 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.49 Typical High $23.99 | Professional | 53 · Discontinued | $8.13 | $13.49 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $51.29 Typical High $89.13 | Professional | 54 · Surgery only | $30.90 | $51.29 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.23 Typical High $17.78 | Professional | 55 · Aftercare only | $6.17 | $10.23 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.76 Typical High $12.02 | Professional | 56 · Pre-op care only | $4.07 | $6.76 | $12.02 |
Where Kansas sits
The same service costs 3.5 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· 8th of 51
$112
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.