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 $1,949.84 Median $5,128.61 Typical High $10,715.19 | Facility | None | $1,949.84 | $5,128.61 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $602.56 | Professional | None | $436.52 | $457.09 | $602.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $21,379.62 Typical High $26,302.68 | Facility | None | $575.44 | $21,379.62 | $26,302.68 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $6,918.31 Typical High $36,307.81 | Facility | None | $478.63 | $6,918.31 | $36,307.81 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $3,801.89 | Professional | None | $562.34 | $776.25 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $8,912.51 Typical High $38,018.94 | Facility | None | $1,412.54 | $8,912.51 | $38,018.94 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,071.52 | Professional | None | $537.03 | $776.25 | $1,071.52 |
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 $218.78 Median $218.78 Typical High $245.47 | Professional | 52 · Reduced service | $218.78 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | 53 · Discontinued | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $371.54 | Professional | 54 · Surgery only | $331.13 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $48.98 |
Where Kansas sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 31st of 51
$1,047
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.