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 $954.99 Median $2,818.38 Typical High $7,943.28 | Facility | None | $954.99 | $2,818.38 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,096.48 Typical High $2,137.96 | Professional | None | $323.59 | $1,096.48 | $2,137.96 |
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 $338.84 Median $338.84 Typical High $1,737.80 | Professional | None | $338.84 | $338.84 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $1,380.38 Typical High $2,041.74 | Professional | None | $269.15 | $1,380.38 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $457.09 Typical High $2,187.76 | Facility | None | $54.95 | $457.09 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $4,897.79 Typical High $9,332.54 | Professional | None | $1,479.11 | $4,897.79 | $9,332.54 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $269.15 Median $1,230.27 Typical High $2,041.74 | Professional | None | $269.15 | $1,230.27 | $2,041.74 |
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 $162.18 Median $204.17 Typical High $1,071.52 | Professional | 52 · Reduced service | $162.18 | $204.17 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $426.58 | Professional | 53 · Discontinued | $64.57 | $83.18 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $309.03 Typical High $1,621.81 | Professional | 54 · Surgery only | $245.47 | $309.03 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $61.66 Typical High $323.59 | Professional | 55 · Aftercare only | $48.98 | $61.66 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $40.74 Typical High $213.80 | Professional | 56 · Pre-op care only | $32.36 | $40.74 | $213.80 |
Where Kansas sits
The same service costs 6.5 times more in Washington 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· 7th of 51
$1,479
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.