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 $199.53 Median $4,677.35 Typical High $9,549.93 | Facility | None | $199.53 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $199.53 | Professional | None | $61.66 | $114.82 | $199.53 |
BCBS Kansas Setting Facility Modifier None Typical Low $354.81 Median $371.54 Typical High $371.54 | Facility | None | $354.81 | $371.54 | $371.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | None | $102.33 | $102.33 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $81.28 | Facility | None | $66.07 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $154.88 Typical High $213.80 | Professional | None | $75.86 | $154.88 | $213.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $208.93 Typical High $1,380.38 | Facility | None | $54.95 | $208.93 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $1,122.02 | Professional | None | $131.83 | $169.82 | $1,122.02 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $194.98 | Professional | None | $74.13 | $128.82 | $194.98 |
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 $30.90 Median $48.98 Typical High $100.00 | Professional | 52 · Reduced service | $30.90 | $48.98 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $19.50 Typical High $40.74 | Professional | 53 · Discontinued | $12.30 | $19.50 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $72.44 Typical High $151.36 | Professional | 54 · Surgery only | $46.77 | $72.44 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $14.45 Typical High $30.20 | Professional | 55 · Aftercare only | $9.33 | $14.45 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $9.77 Typical High $19.95 | Professional | 56 · Pre-op care only | $6.17 | $9.77 | $19.95 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 10th of 51
$170
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.