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 $63.10 Median $3,630.78 Typical High $8,912.51 | Facility | None | $63.10 | $3,630.78 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $114.82 | Professional | None | $42.66 | $70.79 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Facility | None | $229.09 | $229.09 | $239.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | None | $69.18 | $69.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $57.54 | Facility | None | $37.15 | $37.15 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $181.97 | Professional | None | $48.98 | $85.11 | $181.97 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,380.38 | Facility | None | $54.95 | $199.53 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $645.65 | Professional | None | $95.50 | $169.82 | $645.65 |
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 $56.23 Median $89.13 Typical High $144.54 | Professional | None | $56.23 | $89.13 | $144.54 |
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 $21.38 Median $35.48 Typical High $57.54 | Professional | 52 · Reduced service | $21.38 | $35.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $14.13 Typical High $22.91 | Professional | 53 · Discontinued | $8.51 | $14.13 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $52.48 Typical High $87.10 | Professional | 54 · Surgery only | $31.62 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $10.47 Typical High $17.38 | Professional | 55 · Aftercare only | $6.31 | $10.47 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $7.08 Typical High $11.48 | Professional | 56 · Pre-op care only | $4.27 | $7.08 | $11.48 |
Where Kansas sits
The same service costs 3.3 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· 8th of 51
$132
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.