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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $457.09 | Professional | None | $295.12 | $363.08 | $457.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $645.65 | Facility | None | $457.09 | $616.60 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $676.08 | Facility | None | $407.38 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $851.14 | Professional | None | $338.84 | $501.19 | $851.14 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $2,754.23 | Facility | None | $338.84 | $645.65 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $2,398.83 | Professional | None | $316.23 | $549.54 | $2,398.83 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $660.69 | Professional | None | $316.23 | $436.52 | $660.69 |
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 $147.91 Median $177.83 Typical High $229.09 | Professional | 52 · Reduced service | $147.91 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | 53 · Discontinued | $58.88 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $269.15 Typical High $338.84 | Professional | 54 · Surgery only | $218.78 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $53.70 Typical High $67.61 | Professional | 55 · Aftercare only | $43.65 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $36.31 Typical High $45.71 | Professional | 56 · Pre-op care only | $29.51 | $36.31 | $45.71 |
Where Kansas sits
The same service costs 4.1 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· 14th of 51
$617
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.