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 $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $501.19 | Professional | None | $173.78 | $363.08 | $501.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $346.74 | Professional | None | $154.88 | $154.88 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,584.89 Typical High $1,584.89 | Facility | None | $575.44 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $331.13 Typical High $660.69 | Professional | None | $151.36 | $331.13 | $660.69 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $501.19 Typical High $26,302.68 | Facility | None | $162.18 | $501.19 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $2,398.83 | Professional | None | $371.54 | $524.81 | $2,398.83 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $575.44 | Professional | None | $190.55 | $316.23 | $575.44 |
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 $128.82 Median $213.80 Typical High $371.54 | Professional | 54 · Surgery only | $128.82 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $42.66 Typical High $74.13 | Professional | 55 · Aftercare only | $26.30 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $28.84 Typical High $50.12 | Professional | 56 · Pre-op care only | $17.38 | $28.84 | $50.12 |
Where Kansas sits
The same service costs 3.4 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· 12th of 51
$427
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.