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 $3,090.30 Median $5,495.41 Typical High $9,549.93 | Facility | None | $3,090.30 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,187.76 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,041.74 | Facility | None | $380.19 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $2,691.53 | Professional | None | $1,737.80 | $2,454.71 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $851.14 Typical High $4,570.88 | Facility | None | $54.95 | $851.14 | $4,570.88 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,884.03 Typical High $12,302.69 | Professional | None | $1,288.25 | $2,884.03 | $12,302.69 |
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 $1,288.25 Median $2,754.23 Typical High $3,890.45 | Professional | None | $1,288.25 | $2,754.23 | $3,890.45 |
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 $1,096.48 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,096.48 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $436.52 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,621.81 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $323.59 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $218.78 | $309.03 | $309.03 |
Where Kansas sits
The same service costs 5.2 times more in Alaska than in Maryland. 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· 34th of 51
$1,995
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.