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 $123.03 Median $229.09 Typical High $354.81 | Professional | None | $123.03 | $229.09 | $354.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Professional | None | $239.88 | $239.88 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $2,238.72 | Facility | None | $691.83 | $2,137.96 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $302.00 Typical High $478.63 | Professional | None | $154.88 | $302.00 | $478.63 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $1,862.09 Typical High $6,309.57 | Facility | None | $213.80 | $1,862.09 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $602.56 Typical High $2,041.74 | Professional | None | $223.87 | $602.56 | $2,041.74 |
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 $151.36 Median $229.09 Typical High $416.87 | Professional | None | $151.36 | $229.09 | $416.87 |
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 $61.66 Median $100.00 Typical High $177.83 | Professional | 52 · Reduced service | $61.66 | $100.00 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $39.81 Typical High $70.79 | Professional | 53 · Discontinued | $24.55 | $39.81 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $151.36 Typical High $269.15 | Professional | 54 · Surgery only | $93.33 | $151.36 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $30.20 Typical High $53.70 | Professional | 55 · Aftercare only | $18.62 | $30.20 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.95 Typical High $35.48 | Professional | 56 · Pre-op care only | $12.30 | $19.95 | $35.48 |
Where Kansas sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 14th 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.