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 $4,570.88 Typical High $8,912.51 | Facility | None | $1,584.89 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,174.90 Typical High $1,584.89 | Professional | None | $354.81 | $1,174.90 | $1,584.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $3,548.13 | Facility | None | $1,949.84 | $3,388.44 | $3,548.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,148.15 | Professional | None | $316.23 | $316.23 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,174.90 | $2,041.74 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $1,174.90 Typical High $3,019.95 | Professional | None | $302.00 | $1,174.90 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $2,398.83 Typical High $26,302.68 | Facility | None | $645.65 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $11,220.18 | Professional | None | $1,230.27 | $2,238.72 | $11,220.18 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $389.05 Median $933.25 Typical High $2,238.72 | Professional | None | $389.05 | $933.25 | $2,238.72 |
3 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 54 · Surgery only Typical Low $269.15 Median $691.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $269.15 | $691.83 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $138.04 Typical High $234.42 | Professional | 55 · Aftercare only | $53.70 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $91.20 Typical High $158.49 | Professional | 56 · Pre-op care only | $35.48 | $91.20 | $158.49 |
Where Kansas sits
The same service costs 4.8 times more in Alaska 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· 3rd of 51
$1,905
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.