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 $1,819.70 Median $3,715.35 Typical High $7,943.28 | Facility | None | $1,819.70 | $3,715.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,174.90 | $1,348.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,041.74 | Facility | None | $380.19 | $676.08 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,698.24 Typical High $5,623.41 | Facility | None | $891.25 | $1,698.24 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,698.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,698.24 Typical High $4,677.35 | Facility | None | $831.76 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,698.24 | $2,511.89 |
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 $575.44 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $575.44 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $229.09 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $891.25 Typical High $954.99 | Professional | 54 · Surgery only | $851.14 | $891.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $177.83 Typical High $190.55 | Professional | 55 · Aftercare only | $169.82 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $114.82 | $117.49 | $125.89 |
Where Kansas sits
The same service costs 109.6 times more in Alaska than in Kentucky. 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
$1,698
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.