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 $436.52 Median $4,677.35 Typical High $9,549.93 | Facility | None | $436.52 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $436.52 | Professional | None | $162.18 | $251.19 | $436.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
BCBS Kansas Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | None | $229.09 | $229.09 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $213.80 | Facility | None | $147.91 | $204.17 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $416.87 | Professional | None | $173.78 | $288.40 | $416.87 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $331.13 Typical High $1,288.25 | Facility | None | $54.95 | $331.13 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $1,288.25 Typical High $2,089.30 | Professional | None | $275.42 | $1,288.25 | $2,089.30 |
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 $177.83 Median $263.03 Typical High $354.81 | Professional | None | $177.83 | $263.03 | $354.81 |
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 $81.28 Median $125.89 Typical High $218.78 | Professional | 52 · Reduced service | $81.28 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $50.12 Typical High $89.13 | Professional | 53 · Discontinued | $32.36 | $50.12 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $186.21 Typical High $331.13 | Professional | 54 · Surgery only | $123.03 | $186.21 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $37.15 Typical High $66.07 | Professional | 55 · Aftercare only | $24.55 | $37.15 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $25.12 Typical High $43.65 | Professional | 56 · Pre-op care only | $16.22 | $25.12 | $43.65 |
Where Kansas sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$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.