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 $446.68 Median $1,819.70 Typical High $3,235.94 | Professional | None | $446.68 | $1,819.70 | $3,235.94 |
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 $630.96 Median $630.96 Typical High $3,388.44 | Professional | None | $630.96 | $630.96 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $2,454.71 Typical High $3,311.31 | Professional | None | $389.05 | $2,454.71 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $3,388.44 Typical High $11,748.98 | Facility | None | $54.95 | $3,388.44 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $7,413.10 Typical High $14,454.40 | Professional | None | $2,691.53 | $7,413.10 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $6,918.31 Typical High $16,218.10 | Facility | None | $2,818.38 | $6,918.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,862.09 Typical High $3,388.44 | Professional | None | $407.38 | $1,862.09 | $3,388.44 |
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 $223.87 Median $302.00 Typical High $1,621.81 | Professional | 52 · Reduced service | $223.87 | $302.00 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $120.23 Typical High $645.65 | Professional | 53 · Discontinued | $89.13 | $120.23 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $457.09 Typical High $2,398.83 | Professional | 54 · Surgery only | $338.84 | $457.09 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $91.20 Typical High $478.63 | Professional | 55 · Aftercare only | $67.61 | $91.20 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $60.26 Typical High $323.59 | Professional | 56 · Pre-op care only | $44.67 | $60.26 | $323.59 |
Where Kansas sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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
$2,512
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.