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 $309.03 Median $323.59 Typical High $426.58 | Professional | None | $309.03 | $323.59 | $426.58 |
BCBS Kansas Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $8,709.64 Typical High $10,471.29 | Facility | None | $575.44 | $8,709.64 | $10,471.29 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $4,786.30 Typical High $17,378.01 | Facility | None | $316.23 | $4,786.30 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $2,691.53 | Professional | None | $363.08 | $512.86 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $707.95 | Professional | None | $363.08 | $512.86 | $707.95 |
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 $154.88 Median $154.88 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 53 · Discontinued | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 54 · Surgery only | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $34.67 |
Where Kansas sits
The same service costs 15.8 times more in Arkansas 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· 32nd of 51
$708
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.