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 $2,570.40 Median $5,495.41 Typical High $9,549.93 | Facility | None | $2,570.40 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,570.40 | $2,570.40 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
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 $1,621.81 Median $2,238.72 Typical High $10,964.78 | Professional | None | $1,621.81 | $2,238.72 | $10,964.78 |
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 $1,548.82 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,548.82 | $2,238.72 | $2,818.38 |
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 $977.24 Median $1,258.93 Typical High $1,288.25 | Professional | 52 · Reduced service | $977.24 | $1,258.93 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,412.54 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $295.12 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $194.98 | $257.04 | $257.04 |
Where Kansas sits
The same service costs 4.7 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· 34th of 51
$1,820
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.