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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $501.19 | Professional | None | $223.87 | $346.74 | $501.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $467.74 | Professional | None | $346.74 | $346.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $676.08 Typical High $676.08 | Facility | None | $263.03 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $501.19 | Professional | None | $229.09 | $309.03 | $501.19 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $457.09 Typical High $26,302.68 | Facility | None | $162.18 | $457.09 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $2,754.23 | Professional | None | $338.84 | $426.58 | $2,754.23 |
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 $251.19 Median $363.08 Typical High $562.34 | Professional | None | $251.19 | $363.08 | $562.34 |
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 $109.65 Median $169.82 Typical High $251.19 | Professional | 52 · Reduced service | $109.65 | $169.82 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $44.67 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $257.04 Typical High $380.19 | Professional | 54 · Surgery only | $165.96 | $257.04 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $51.29 Typical High $75.86 | Professional | 55 · Aftercare only | $33.11 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $34.67 Typical High $50.12 | Professional | 56 · Pre-op care only | $22.39 | $34.67 | $50.12 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in New York. 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· 21st of 51
$380
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.