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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $269.15 | Professional | None | $125.89 | $165.96 | $269.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $74.13 Typical High $74.13 | Facility | None | $70.79 | $74.13 | $74.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | None | $144.54 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $660.69 | Facility | None | $194.98 | $489.78 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $223.87 | Professional | None | $128.82 | $173.78 | $223.87 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $331.13 Typical High $1,380.38 | Facility | None | $138.04 | $331.13 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $1,621.81 | Professional | None | $114.82 | $162.18 | $1,621.81 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $234.42 | Professional | None | $114.82 | $162.18 | $234.42 |
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 $63.10 Median $79.43 Typical High $134.90 | Professional | 52 · Reduced service | $63.10 | $79.43 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $53.70 | Professional | 53 · Discontinued | $25.12 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $117.49 Typical High $204.17 | Professional | 54 · Surgery only | $95.50 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $23.44 Typical High $40.74 | Professional | 55 · Aftercare only | $19.05 | $23.44 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $15.85 Typical High $26.92 | Professional | 56 · Pre-op care only | $12.59 | $15.85 | $26.92 |
Where Kansas sits
The same service costs 3.2 times more in Alaska 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· 25th of 51
$162
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.