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 $213.80 Median $218.78 Typical High $295.12 | Professional | None | $213.80 | $218.78 | $295.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,511.89 Typical High $2,884.03 | Facility | None | $575.44 | $2,511.89 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $1,862.09 Typical High $6,760.83 | Facility | None | $223.87 | $1,862.09 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $1,819.70 | Professional | None | $257.04 | $363.08 | $1,819.70 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $501.19 | Professional | None | $245.47 | $363.08 | $501.19 |
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 $104.71 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $104.71 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $42.66 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | 54 · Surgery only | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $23.44 |
Where Kansas sits
The same service costs 10.7 times more in Colorado 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· 33rd of 51
$513
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.