How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,698.24 Median $1,698.24 Typical High $1,778.28 | Facility | None | $1,698.24 | $1,698.24 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,778.28 | Professional | None | $812.83 | $1,023.29 | $1,778.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,380.38 | Professional | None | $758.58 | $1,096.48 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,348.96 Typical High $1,737.80 | Facility | None | $812.83 | $1,348.96 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $1,148.15 Typical High $5,370.32 | Professional | None | $588.84 | $1,148.15 | $5,370.32 |
United Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,023.29 | Professional | None | $501.19 | $630.96 | $1,023.29 |
4 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 $407.38 Median $512.86 Typical High $870.96 | Professional | 52 · Reduced service | $407.38 | $512.86 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $204.17 Typical High $354.81 | Professional | 53 · Discontinued | $162.18 | $204.17 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $154.88 Typical High $263.03 | Professional | 55 · Aftercare only | $123.03 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $102.33 Typical High $177.83 | Professional | 56 · Pre-op care only | $81.28 | $102.33 | $177.83 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 32nd of 51
$813
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.