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 $1,288.25 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $1,479.11 Typical High $2,630.27 | Professional | None | $426.58 | $1,479.11 | $2,630.27 |
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 $457.09 Median $457.09 Typical High $2,187.76 | Professional | None | $457.09 | $457.09 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $1,659.59 Typical High $2,398.83 | Professional | None | $346.74 | $1,659.59 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,398.83 Typical High $5,888.44 | Facility | None | $54.95 | $2,398.83 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $6,025.60 Typical High $11,481.54 | Professional | None | $1,862.09 | $6,025.60 | $11,481.54 |
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 $363.08 Median $1,445.44 Typical High $2,398.83 | Professional | None | $363.08 | $1,445.44 | $2,398.83 |
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 $213.80 Median $269.15 Typical High $1,318.26 | Professional | 52 · Reduced service | $213.80 | $269.15 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $109.65 Typical High $524.81 | Professional | 53 · Discontinued | $85.11 | $109.65 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $407.38 Typical High $1,949.84 | Professional | 54 · Surgery only | $316.23 | $407.38 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $81.28 Typical High $389.05 | Professional | 55 · Aftercare only | $63.10 | $81.28 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $53.70 Typical High $263.03 | Professional | 56 · Pre-op care only | $42.66 | $53.70 | $263.03 |
Where Kansas sits
The same service costs 5.6 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· 5th of 51
$1,950
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.