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 $354.81 Median $467.74 Typical High $467.74 | Professional | None | $354.81 | $467.74 | $467.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $2,691.53 | Facility | None | $380.19 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $562.34 | Professional | None | $309.03 | $426.58 | $562.34 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $602.56 Typical High $4,466.84 | Facility | None | $54.95 | $602.56 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $14,791.08 | Professional | None | $316.23 | $457.09 | $14,791.08 |
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 $309.03 Median $457.09 Typical High $616.60 | Professional | None | $309.03 | $457.09 | $616.60 |
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 $173.78 Median $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $173.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $263.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $46.77 | $46.77 |
Where Kansas sits
The same service costs 3.9 times more in Wisconsin than in New York. 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· 26th of 51
$457
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.