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 $501.19 Median $2,754.23 Typical High $7,943.28 | Facility | None | $501.19 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $208.93 Typical High $457.09 | Professional | None | $81.28 | $208.93 | $457.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $416.87 | Professional | None | $134.90 | $134.90 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $281.84 Typical High $416.87 | Professional | None | $91.20 | $281.84 | $416.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $380.19 Typical High $1,288.25 | Facility | None | $54.95 | $380.19 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $1,148.15 Typical High $2,691.53 | Professional | None | $302.00 | $1,148.15 | $2,691.53 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $87.10 Median $245.47 Typical High $389.05 | Professional | None | $87.10 | $245.47 | $389.05 |
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 $40.74 Median $63.10 Typical High $229.09 | Professional | 52 · Reduced service | $40.74 | $63.10 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $91.20 | Professional | 53 · Discontinued | $16.22 | $25.12 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $95.50 Typical High $338.84 | Professional | 54 · Surgery only | $61.66 | $95.50 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $19.05 Typical High $69.18 | Professional | 55 · Aftercare only | $12.30 | $19.05 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.59 Typical High $45.71 | Professional | 56 · Pre-op care only | $8.13 | $12.59 | $45.71 |
Where Kansas sits
The same service costs 4.2 times more in Washington than in Virginia. 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· 10th of 51
$309
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.