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 $5,128.61 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $323.59 | Professional | None | $109.65 | $194.98 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | None | $309.03 | $309.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $954.99 Typical High $2,238.72 | Facility | None | $173.78 | $954.99 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $1,096.48 | Professional | None | $128.82 | $223.87 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $26,302.68 | Facility | None | $446.68 | $1,258.93 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $954.99 Typical High $6,456.54 | Professional | None | $245.47 | $954.99 | $6,456.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $794.33 | Professional | None | $147.91 | $251.19 | $794.33 |
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 $54.95 Median $97.72 Typical High $162.18 | Professional | 52 · Reduced service | $54.95 | $97.72 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $39.81 Typical High $64.57 | Professional | 53 · Discontinued | $21.88 | $39.81 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $147.91 Typical High $245.47 | Professional | 54 · Surgery only | $83.18 | $147.91 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $29.51 Typical High $48.98 | Professional | 55 · Aftercare only | $16.60 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $19.50 Typical High $32.36 | Professional | 56 · Pre-op care only | $10.96 | $19.50 | $32.36 |
Where Kansas sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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· 9th of 51
$347
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.