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 $2,089.30 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,089.30 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $3,162.28 | Professional | None | $2,089.30 | $2,511.89 | $3,162.28 |
BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,344.23 Typical High $2,691.53 | Facility | None | $602.56 | $2,344.23 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,715.35 | Professional | None | $2,089.30 | $2,454.71 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $3,019.95 Typical High $26,302.68 | Facility | None | $758.58 | $3,019.95 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $20,417.38 | Professional | None | $2,344.23 | $2,511.89 | $20,417.38 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $4,073.80 | Professional | None | $2,344.23 | $2,511.89 | $4,073.80 |
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 $1,023.29 Median $1,258.93 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,023.29 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $501.19 Typical High $630.96 | Professional | 53 · Discontinued | $416.87 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,905.46 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,548.82 | $1,905.46 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $380.19 Typical High $478.63 | Professional | 55 · Aftercare only | $309.03 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $251.19 Typical High $316.23 | Professional | 56 · Pre-op care only | $208.93 | $251.19 | $316.23 |
Where Kansas sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 31st of 51
$2,512
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.