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 $147.91 Median $4,677.35 Typical High $9,549.93 | Facility | None | $147.91 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $147.91 | Professional | None | $67.61 | $102.33 | $147.91 |
BCBS Kansas Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | None | $91.20 | $91.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $2,691.53 | Facility | None | $380.19 | $676.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $288.40 | Professional | None | $57.54 | $89.13 | $288.40 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,258.93 | Facility | None | $54.95 | $186.21 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $1,023.29 | Professional | None | $95.50 | $177.83 | $1,023.29 |
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 $69.18 Median $97.72 Typical High $190.55 | Professional | None | $69.18 | $97.72 | $190.55 |
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 $33.88 Median $45.71 Typical High $74.13 | Professional | 52 · Reduced service | $33.88 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.20 Typical High $29.51 | Professional | 53 · Discontinued | $13.49 | $18.20 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $69.18 Typical High $109.65 | Professional | 54 · Surgery only | $50.12 | $69.18 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.80 Typical High $21.88 | Professional | 55 · Aftercare only | $10.00 | $13.80 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | 56 · Pre-op care only | $6.76 | $9.12 | $14.79 |
Where Kansas sits
The same service costs 3.7 times more in Wisconsin 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· 6th of 51
$145
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.