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 $194.98 Median $4,677.35 Typical High $9,549.93 | Facility | None | $194.98 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $194.98 | Professional | None | $89.13 | $138.04 | $194.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None | $158.49 | $158.49 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $125.89 | Facility | None | $87.10 | $120.23 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $213.80 | Professional | None | $100.00 | $134.90 | $213.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $213.80 Typical High $1,288.25 | Facility | None | $54.95 | $213.80 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $1,071.52 | Professional | None | $144.54 | $181.97 | $1,071.52 |
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 $107.15 Median $147.91 Typical High $218.78 | Professional | None | $107.15 | $147.91 | $218.78 |
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 $44.67 Median $69.18 Typical High $97.72 | Professional | 52 · Reduced service | $44.67 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $27.54 Typical High $38.90 | Professional | 53 · Discontinued | $17.78 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $102.33 Typical High $147.91 | Professional | 54 · Surgery only | $66.07 | $102.33 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $20.42 Typical High $29.51 | Professional | 55 · Aftercare only | $13.18 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $13.80 Typical High $19.50 | Professional | 56 · Pre-op care only | $8.91 | $13.80 | $19.50 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 20th of 51
$158
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.