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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,148.15 | Professional | None | $758.58 | $933.25 | $1,148.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $1,445.44 | Facility | None | $794.33 | $1,380.38 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,041.74 | Facility | None | $380.19 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,174.90 | Professional | None | $776.25 | $1,000.00 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $524.81 Typical High $1,995.26 | Facility | None | $144.54 | $524.81 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $5,495.41 | Professional | None | $812.83 | $1,071.52 | $5,495.41 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,202.26 | Professional | None | $741.31 | $851.14 | $1,202.26 |
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 $380.19 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $380.19 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $186.21 Typical High $229.09 | Professional | 53 · Discontinued | $151.36 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $691.83 Typical High $870.96 | Professional | 54 · Surgery only | $562.34 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $138.04 Typical High $173.78 | Professional | 55 · Aftercare only | $112.20 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $93.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $75.86 | $93.33 | $114.82 |
Where Kansas sits
The same service costs 4.7 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· 16th of 51
$1,047
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.