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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $100.00 | Professional | None | $41.69 | $64.57 | $100.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $47.86 Median $346.74 Typical High $371.54 | Facility | None | $47.86 | $346.74 | $371.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | None | $66.07 | $66.07 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $173.78 Typical High $389.05 | Facility | None | $50.12 | $173.78 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $91.20 | Professional | None | $44.67 | $72.44 | $91.20 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $302.00 Typical High $588.84 | Professional | None | $64.57 | $302.00 | $588.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $91.20 | Professional | None | $46.77 | $63.10 | $91.20 |
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 $20.89 Median $32.36 Typical High $50.12 | Professional | 52 · Reduced service | $20.89 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $19.95 | Professional | 53 · Discontinued | $8.32 | $12.88 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $47.86 Typical High $75.86 | Professional | 54 · Surgery only | $30.90 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.55 Typical High $15.14 | Professional | 55 · Aftercare only | $6.17 | $9.55 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $6.46 Typical High $10.00 | Professional | 56 · Pre-op care only | $4.17 | $6.46 | $10.00 |
Where Kansas sits
The same service costs 3.5 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· 14th of 51
$81.28
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.