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 $3,162.28 Median $8,912.51 Typical High $16,595.87 | Facility | None | $3,162.28 | $8,912.51 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,380.38 | $1,862.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $2,041.74 | Facility | None | $446.68 | $602.56 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,096.48 Typical High $4,897.79 | Facility | None | $436.52 | $1,096.48 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $12,302.69 | Professional | None | $2,187.76 | $3,090.30 | $12,302.69 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $3,548.13 | Professional | None | $2,089.30 | $3,090.30 | $3,548.13 |
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 $660.69 Median $691.83 Typical High $741.31 | Professional | 52 · Reduced service | $660.69 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $295.12 | Professional | 53 · Discontinued | $263.03 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $204.17 Typical High $218.78 | Professional | 55 · Aftercare only | $199.53 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $147.91 |
Where Kansas sits
The same service costs 5.8 times more in California than in Arkansas. 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
$1,995
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.