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 $1,949.84 Median $6,760.83 Typical High $13,803.84 | Facility | None | $1,949.84 | $6,760.83 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $933.25 | Professional | None | $575.44 | $794.33 | $933.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $13,489.63 Typical High $14,125.38 | Facility | None | $691.83 | $13,489.63 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,288.25 | Professional | None | $630.96 | $812.83 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,818.38 Typical High $14,454.40 | Facility | None | $54.95 | $2,818.38 | $14,454.40 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $4,786.30 | Professional | None | $676.08 | $831.76 | $4,786.30 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $12,302.69 | Facility | None | $933.25 | $3,548.13 | $12,302.69 |
United Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,202.26 | Professional | None | $645.65 | $741.31 | $1,202.26 |
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 $281.84 Median $398.11 Typical High $467.74 | Professional | 52 · Reduced service | $281.84 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $158.49 Typical High $186.21 | Professional | 53 · Discontinued | $114.82 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $602.56 Typical High $707.95 | Professional | 54 · Surgery only | $426.58 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $120.23 Typical High $141.25 | Professional | 55 · Aftercare only | $85.11 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $79.43 Typical High $93.33 | Professional | 56 · Pre-op care only | $57.54 | $79.43 | $93.33 |
Where Kansas sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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· 25th of 51
$933
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.