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 $1,949.84 Median $5,128.61 Typical High $9,549.93 | Facility | None | $1,949.84 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $416.87 | Professional | None | $275.42 | $338.84 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,071.52 | $1,071.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,698.24 Typical High $1,698.24 | Facility | None | $776.25 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $549.54 | Professional | None | $302.00 | $549.54 | $549.54 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $501.19 Typical High $26,302.68 | Facility | None | $158.49 | $501.19 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $3,467.37 | Professional | None | $309.03 | $389.05 | $3,467.37 |
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 $281.84 Median $331.13 Typical High $478.63 | Professional | None | $281.84 | $331.13 | $478.63 |
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 $138.04 Median $169.82 Typical High $208.93 | Professional | 52 · Reduced service | $138.04 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $67.61 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $251.19 Typical High $316.23 | Professional | 54 · Surgery only | $204.17 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $51.29 Typical High $63.10 | Professional | 55 · Aftercare only | $40.74 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.88 Typical High $41.69 | Professional | 56 · Pre-op care only | $27.54 | $33.88 | $41.69 |
Where Kansas sits
The same service costs 4.8 times more in Alaska than in Utah. 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
$437
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.