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 $27.54 Median $42.66 Typical High $52.48 | Professional | None | $27.54 | $42.66 | $52.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $67.61 Typical High $67.61 | Facility | None | $64.57 | $67.61 | $67.61 |
BCBS Kansas Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | None | $45.71 | $45.71 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,691.53 | Facility | None | $380.19 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $281.84 Typical High $1,380.38 | Facility | None | $36.31 | $281.84 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $125.89 Typical High $323.59 | Professional | None | $53.70 | $125.89 | $323.59 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $35.48 Median $53.70 Typical High $89.13 | Professional | None | $35.48 | $53.70 | $89.13 |
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 $13.49 Median $21.38 Typical High $26.30 | Professional | 52 · Reduced service | $13.49 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.51 Typical High $10.47 | Professional | 53 · Discontinued | $5.50 | $8.51 | $10.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $31.62 Typical High $38.90 | Professional | 54 · Surgery only | $20.42 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $6.31 Typical High $7.94 | Professional | 55 · Aftercare only | $4.07 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $4.27 Typical High $5.25 | Professional | 56 · Pre-op care only | $2.75 | $4.27 | $5.25 |
Where Kansas sits
The same service costs 2.8 times more in Alaska than in California. 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· 13th of 51
$64.57
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.