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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $309.03 | Professional | None | $151.36 | $257.04 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $288.40 Median $309.03 Typical High $309.03 | Facility | None | $288.40 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $660.69 | Professional | None | $302.00 | $302.00 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $1,737.80 | Facility | None | $380.19 | $676.08 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $389.05 Typical High $1,380.38 | Facility | None | $138.04 | $389.05 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $2,511.89 | Professional | None | $524.81 | $1,096.48 | $2,511.89 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $676.08 | Professional | None | $213.80 | $457.09 | $676.08 |
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 $75.86 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $75.86 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $30.20 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $190.55 Typical High $234.42 | Professional | 54 · Surgery only | $114.82 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $38.02 Typical High $46.77 | Professional | 55 · Aftercare only | $22.91 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $25.12 Typical High $30.90 | Professional | 56 · Pre-op care only | $15.14 | $25.12 | $30.90 |
Where Kansas sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 41st of 51
$316
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.