How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,202 to $7,762Professionalmedian $1,023 · 10th to 90th $676 to $1,738
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 $1,479.11 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,479.11 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $977.24 Typical High $1,174.90 | Professional | None (both parts) | $676.08 | $977.24 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $354.81 Typical High $363.08 | Professional | 26 · Professional part | $251.19 | $354.81 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $630.96 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $630.96 | $645.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,202.26 Median $4,897.79 Typical High $5,128.61 | Facility | None | $1,202.26 | $4,897.79 | $5,128.61 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $12,022.64 | Facility | None | $1,288.25 | $1,288.25 | $12,022.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,071.52 Typical High $1,258.93 | Professional | None (both parts) | $741.31 | $1,071.52 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $338.84 Typical High $416.87 | Professional | 26 · Professional part | $239.88 | $338.84 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $724.44 Typical High $831.76 | Professional | TC · Technical part | $489.78 | $724.44 | $831.76 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,819.70 Typical High $6,309.57 | Facility | None | $691.83 | $1,819.70 | $6,309.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,000.00 Typical High $5,011.87 | Professional | None (both parts) | $436.52 | $1,000.00 | $5,011.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $346.74 Typical High $1,621.81 | Professional | 26 · Professional part | $251.19 | $346.74 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $676.08 Typical High $2,884.03 | Professional | TC · Technical part | $109.65 | $676.08 | $2,884.03 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,000.00 Typical High $1,548.82 | Professional | None (both parts) | $436.52 | $1,000.00 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $331.13 Typical High $537.03 | Professional | 26 · Professional part | $234.42 | $331.13 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $676.08 Typical High $1,000.00 | Professional | TC · Technical part | $109.65 | $676.08 | $1,000.00 |
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 $338.84 Median $489.78 Typical High $501.19 | Professional | 52 · Reduced service | $338.84 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $134.90 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $741.31 Typical High $758.58 | Professional | 54 · Surgery only | $512.86 | $741.31 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $147.91 Typical High $151.36 | Professional | 55 · Aftercare only | $102.33 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $97.72 Typical High $102.33 | Professional | 56 · Pre-op care only | $67.61 | $97.72 | $102.33 |
Where Kansas sits
The same service costs 4.4 times more in Wisconsin 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
$1,585
WI $2,630TX $603
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.