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 $1,584.89 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,584.89 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $891.25 Typical High $1,584.89 | Professional | None | $257.04 | $891.25 | $1,584.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $660.69 | Facility | None | $630.96 | $660.69 | $660.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $1,548.82 | Professional | None | $309.03 | $309.03 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $1,071.52 Typical High $1,621.81 | Professional | None | $218.78 | $1,071.52 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,819.70 Typical High $5,888.44 | Facility | None | $54.95 | $1,819.70 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $3,630.78 Typical High $7,079.46 | Professional | None | $1,348.96 | $3,630.78 | $7,079.46 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,168.69 Typical High $8,709.64 | Facility | None | $1,905.46 | $4,168.69 | $8,709.64 |
United Setting Professional Modifier None Typical Low $234.42 Median $933.25 Typical High $1,698.24 | Professional | None | $234.42 | $933.25 | $1,698.24 |
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 $128.82 Median $165.96 Typical High $776.25 | Professional | 52 · Reduced service | $128.82 | $165.96 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $66.07 Typical High $316.23 | Professional | 53 · Discontinued | $51.29 | $66.07 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $251.19 Typical High $1,174.90 | Professional | 54 · Surgery only | $190.55 | $251.19 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $50.12 Typical High $234.42 | Professional | 55 · Aftercare only | $38.02 | $50.12 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $87.10 Typical High $158.49 | Professional | 56 · Pre-op care only | $25.70 | $87.10 | $158.49 |
Where Kansas sits
The same service costs 5.9 times more in Wisconsin 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· 4th of 51
$1,288
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.