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 $144.54 Median $4,570.88 Typical High $8,912.51 | Facility | None | $144.54 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $416.87 | Professional | None | $66.07 | $147.91 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $213.80 Typical High $275.42 | Professional | None | $77.62 | $213.80 | $275.42 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $147.91 Typical High $251.19 | Facility | None | $64.57 | $147.91 | $251.19 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $741.31 Typical High $1,230.27 | Professional | None | $194.98 | $741.31 | $1,230.27 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $53.70 | Facility | None | $43.65 | $43.65 | $53.70 |
United Setting Professional Modifier None Typical Low $74.13 Median $173.78 Typical High $275.42 | Professional | None | $74.13 | $173.78 | $275.42 |
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 $32.36 Median $72.44 Typical High $208.93 | Professional | 52 · Reduced service | $32.36 | $72.44 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $29.51 Typical High $83.18 | Professional | 53 · Discontinued | $13.18 | $29.51 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $112.20 Typical High $316.23 | Professional | 54 · Surgery only | $48.98 | $112.20 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $22.39 Typical High $63.10 | Professional | 55 · Aftercare only | $9.77 | $22.39 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $14.45 Typical High $41.69 | Professional | 56 · Pre-op care only | $6.61 | $14.45 | $41.69 |
Where Kansas sits
The same service costs 2.9 times more in Washington 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· 14th of 51
$186
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.