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 $194.98 Median $1,621.81 Typical High $2,137.96 | Professional | None | $194.98 | $1,621.81 | $2,137.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $380.19 Median $407.38 Typical High $1,174.90 | Facility | None | $380.19 | $407.38 | $1,174.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $2,041.74 | Professional | None | $181.97 | $181.97 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,479.11 Typical High $1,548.82 | Facility | None | $707.95 | $1,479.11 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $1,659.59 Typical High $2,754.23 | Professional | None | $165.96 | $1,659.59 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $891.25 Typical High $3,801.89 | Facility | None | $54.95 | $891.25 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $10,000.00 | Professional | None | $1,905.46 | $2,511.89 | $10,000.00 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $194.98 Median $1,288.25 Typical High $2,570.40 | Professional | None | $194.98 | $1,288.25 | $2,570.40 |
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 $97.72 Median $630.96 Typical High $1,071.52 | Professional | 52 · Reduced service | $97.72 | $630.96 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $251.19 Typical High $426.58 | Professional | 53 · Discontinued | $38.90 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $933.25 Typical High $1,621.81 | Professional | 54 · Surgery only | $144.54 | $933.25 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $186.21 Typical High $323.59 | Professional | 55 · Aftercare only | $28.84 | $186.21 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $125.89 Typical High $213.80 | Professional | 56 · Pre-op care only | $19.50 | $125.89 | $213.80 |
Where Kansas sits
The same service costs 8.5 times more in Wisconsin than in Nebraska. 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· 40th of 51
$1,122
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.