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 $158.49 Median $190.55 Typical High $239.88 | Professional | None | $158.49 | $190.55 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $645.65 | Facility | None | $616.60 | $645.65 | $645.65 |
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 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $457.09 | Professional | None | $190.55 | $275.42 | $457.09 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $380.19 Typical High $1,380.38 | Facility | None | $144.54 | $380.19 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $1,348.96 | Professional | None | $181.97 | $331.13 | $1,348.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $398.11 | Professional | None | $181.97 | $245.47 | $398.11 |
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 $77.62 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $31.62 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $144.54 Typical High $181.97 | Professional | 54 · Surgery only | $117.49 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.84 Typical High $36.31 | Professional | 55 · Aftercare only | $23.44 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $19.05 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.85 | $19.05 | $23.99 |
Where Kansas sits
The same service costs 7.2 times more in Oklahoma than in Virginia. 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· 5th of 51
$457
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.