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 $3,162.28 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,162.28 | $4,168.69 | $4,168.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $2,818.38 Median $3,548.13 Typical High $4,677.35 | Professional | None | $2,818.38 | $3,548.13 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $851.14 Typical High $4,897.79 | Facility | None | $54.95 | $851.14 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $2,884.03 Median $4,073.80 Typical High $17,782.79 | Professional | None | $2,884.03 | $4,073.80 | $17,782.79 |
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 $2,754.23 Median $4,073.80 Typical High $5,495.41 | Professional | None | $2,754.23 | $4,073.80 | $5,495.41 |
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 $1,584.89 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,584.89 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $630.96 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $3,162.28 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,344.23 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $630.96 Typical High $630.96 | Professional | 55 · Aftercare only | $467.74 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $316.23 | $416.87 | $416.87 |
Where Kansas sits
The same service costs 5.8 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· 18th of 51
$3,548
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.