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 $114.82 Median $165.96 Typical High $234.42 | Professional | None | $114.82 | $165.96 | $234.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $158.49 | Professional | None | $100.00 | $100.00 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,041.74 | Facility | None | $380.19 | $676.08 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $239.88 | Professional | None | $97.72 | $162.18 | $239.88 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,380.38 | Facility | None | $54.95 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $1,000.00 | Professional | None | $169.82 | $239.88 | $1,000.00 |
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 $112.20 Median $169.82 Typical High $245.47 | Professional | None | $112.20 | $169.82 | $245.47 |
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 $56.23 Median $74.13 Typical High $114.82 | Professional | 52 · Reduced service | $56.23 | $74.13 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $29.51 Typical High $45.71 | Professional | 53 · Discontinued | $22.91 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $109.65 Typical High $173.78 | Professional | 54 · Surgery only | $85.11 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $21.88 Typical High $34.67 | Professional | 55 · Aftercare only | $16.98 | $21.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $14.79 Typical High $22.91 | Professional | 56 · Pre-op care only | $11.48 | $14.79 | $22.91 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 20th of 51
$182
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.