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 $28.18 Median $2,754.23 Typical High $7,943.28 | Facility | None | $28.18 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $22.91 | Professional | None | $13.49 | $18.62 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $33.88 | Professional | None | $14.13 | $16.60 | $33.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $588.84 | Facility | None | $354.81 | $562.34 | $588.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $446.68 Typical High $707.95 | Facility | None | $56.23 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $26.92 | Professional | None | $14.13 | $19.05 | $26.92 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $281.84 Typical High $1,288.25 | Facility | None | $21.88 | $281.84 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $117.49 | Professional | None | $14.45 | $16.22 | $117.49 |
United Setting Facility Modifier None Typical Low $114.82 Median $398.11 Typical High $1,778.28 | Facility | None | $114.82 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $28.84 | Professional | None | $14.45 | $16.22 | $28.84 |
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 $6.76 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $6.76 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $2.69 | $3.72 | $4.37 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.00 Median $14.13 Typical High $16.60 | Professional | 54 · Surgery only | $10.00 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.82 Typical High $3.31 | Professional | 55 · Aftercare only | $2.00 | $2.82 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.86 Typical High $2.19 | Professional | 56 · Pre-op care only | $1.35 | $1.86 | $2.19 |
Where Kansas sits
The same service costs 7.4 times more in Kansas 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· 1st of 51
$95.50
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.