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 $575.44 Median $758.58 Typical High $776.25 | Professional | None | $575.44 | $758.58 | $776.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $524.81 Median $707.95 Typical High $870.96 | Professional | None | $524.81 | $707.95 | $870.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $870.96 Typical High $4,466.84 | Facility | None | $54.95 | $870.96 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $3,311.31 | Professional | None | $537.03 | $741.31 | $3,311.31 |
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 $524.81 Median $741.31 Typical High $1,023.29 | Professional | None | $524.81 | $741.31 | $1,023.29 |
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 $288.40 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $288.40 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $114.82 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $426.58 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $87.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $75.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $57.54 | $75.86 | $77.62 |
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· 20th of 51
$741
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.