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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $724.44 | Professional | None | $457.09 | $588.84 | $724.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,981.07 Typical High $4,168.69 | Facility | None | $676.08 | $3,981.07 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $691.83 | Professional | None | $380.19 | $537.03 | $691.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,148.15 Typical High $5,623.41 | Facility | None | $54.95 | $1,148.15 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $588.84 Typical High $3,311.31 | Professional | None | $295.12 | $588.84 | $3,311.31 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $288.40 Median $575.44 Typical High $831.76 | Professional | None | $288.40 | $575.44 | $831.76 |
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 $223.87 Median $295.12 Typical High $363.08 | Professional | 52 · Reduced service | $223.87 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $117.49 Typical High $144.54 | Professional | 53 · Discontinued | $91.20 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $446.68 Typical High $549.54 | Professional | 54 · Surgery only | $338.84 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $89.13 Typical High $109.65 | Professional | 55 · Aftercare only | $67.61 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $58.88 Typical High $72.44 | Professional | 56 · Pre-op care only | $45.71 | $58.88 | $72.44 |
Where Kansas sits
The same service costs 5.2 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· 24th of 51
$631
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.