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 $213.80 Median $223.87 Typical High $257.04 | Professional | None | $213.80 | $223.87 | $257.04 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,737.80 Typical High $2,089.30 | Facility | None | $575.44 | $1,737.80 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,570.40 Typical High $8,511.38 | Facility | None | $724.44 | $2,570.40 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $1,513.56 | Professional | None | $177.83 | $213.80 | $1,513.56 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,570.40 Typical High $8,709.64 | Facility | None | $870.96 | $2,570.40 | $8,709.64 |
United Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $323.59 | Professional | None | $177.83 | $181.97 | $323.59 |
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 $107.15 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $165.96 Typical High $177.83 | Professional | 54 · Surgery only | $162.18 | $165.96 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $35.48 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.38 | $22.39 | $23.99 |
Where Kansas sits
The same service costs 19.5 times more in Texas than in New York. 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· 30th of 51
$339
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.