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 $72.44 Median $3,630.78 Typical High $8,912.51 | Facility | None | $72.44 | $3,630.78 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $117.49 | Professional | None | $45.71 | $67.61 | $117.49 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $537.03 | Facility | None | $354.81 | $512.86 | $537.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | None | $104.71 | $104.71 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $66.07 | Facility | None | $63.10 | $63.10 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $58.88 Typical High $81.28 | Professional | None | $42.66 | $58.88 | $81.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,380.38 | Facility | None | $54.95 | $186.21 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $707.95 Typical High $1,949.84 | Professional | None | $60.26 | $707.95 | $1,949.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $79.43 | Professional | None | $44.67 | $58.88 | $79.43 |
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 $22.91 Median $33.88 Typical High $58.88 | Professional | 52 · Reduced service | $22.91 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $13.49 Typical High $23.44 | Professional | 53 · Discontinued | $9.12 | $13.49 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $51.29 Typical High $89.13 | Professional | 54 · Surgery only | $34.67 | $51.29 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $10.23 Typical High $17.78 | Professional | 55 · Aftercare only | $6.92 | $10.23 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.76 Typical High $11.75 | Professional | 56 · Pre-op care only | $4.57 | $6.76 | $11.75 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 6th of 51
$105
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.