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 $1,023.29 Median $3,467.37 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $489.78 | Professional | None | $162.18 | $281.84 | $489.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $2,041.74 Typical High $2,137.96 | Facility | None | $954.99 | $2,041.74 | $2,137.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $457.09 | Professional | None | $263.03 | $263.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,122.02 Typical High $1,174.90 | Facility | None | $389.05 | $1,122.02 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $512.86 | Professional | None | $165.96 | $302.00 | $512.86 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $12,022.64 | Facility | None | $281.84 | $912.01 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $630.96 Typical High $2,290.87 | Professional | None | $323.59 | $630.96 | $2,290.87 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $181.97 Median $309.03 Typical High $436.52 | Professional | None | $181.97 | $309.03 | $436.52 |
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 $141.25 Typical High $245.47 | Professional | 52 · Reduced service | $81.28 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $57.54 Typical High $100.00 | Professional | 53 · Discontinued | $32.36 | $57.54 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $213.80 Typical High $371.54 | Professional | 54 · Surgery only | $123.03 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $42.66 Typical High $74.13 | Professional | 55 · Aftercare only | $24.55 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $28.18 Typical High $48.98 | Professional | 56 · Pre-op care only | $16.22 | $28.18 | $48.98 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 7th of 51
$490
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.