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 $181.97 Median $4,677.35 Typical High $9,549.93 | Facility | None | $181.97 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $95.50 Typical High $181.97 | Professional | None | $51.29 | $95.50 | $181.97 |
BCBS Kansas Setting Facility Modifier None Typical Low $194.98 Median $208.93 Typical High $218.78 | Facility | None | $194.98 | $208.93 | $218.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | None | $85.11 | $85.11 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $107.15 | Facility | None | $66.07 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $141.25 Typical High $194.98 | Professional | None | $64.57 | $141.25 | $194.98 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $194.98 Typical High $1,288.25 | Facility | None | $54.95 | $194.98 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $1,023.29 | Professional | None | $112.20 | $154.88 | $1,023.29 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $169.82 | Professional | None | $63.10 | $107.15 | $169.82 |
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 $25.70 Median $40.74 Typical High $91.20 | Professional | 52 · Reduced service | $25.70 | $40.74 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $16.22 Typical High $36.31 | Professional | 53 · Discontinued | $10.23 | $16.22 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $61.66 Typical High $134.90 | Professional | 54 · Surgery only | $38.90 | $61.66 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.30 Typical High $27.54 | Professional | 55 · Aftercare only | $7.76 | $12.30 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.13 Typical High $18.20 | Professional | 56 · Pre-op care only | $5.13 | $8.13 | $18.20 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 12th of 51
$145
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.