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 $3,162.28 Median $6,309.57 Typical High $9,549.93 | Facility | None | $3,162.28 | $6,309.57 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $5,623.41 Typical High $5,623.41 | Professional | None | $4,168.69 | $5,623.41 | $5,623.41 |
BCBS Kansas Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $2,041.74 | Facility | None | $446.68 | $602.56 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $4,786.30 Typical High $6,165.95 | Professional | None | $3,715.35 | $4,786.30 | $6,165.95 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $851.14 Typical High $5,623.41 | Facility | None | $54.95 | $851.14 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $5,370.32 Typical High $23,988.33 | Professional | None | $3,890.45 | $5,370.32 | $23,988.33 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $5,370.32 Typical High $7,413.10 | Professional | None | $3,630.78 | $5,370.32 | $7,413.10 |
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 $2,089.30 Median $2,818.38 Typical High $2,818.38 | Professional | 52 · Reduced service | $2,089.30 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $1,122.02 Typical High $1,122.02 | Professional | 53 · Discontinued | $831.76 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $4,168.69 Typical High $4,265.80 | Professional | 54 · Surgery only | $3,090.30 | $4,168.69 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $630.96 Median $831.76 Typical High $851.14 | Professional | 55 · Aftercare only | $630.96 | $831.76 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 56 · Pre-op care only | $416.87 | $562.34 | $562.34 |
Where Kansas sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 22nd of 51
$4,677
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.