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 $1,698.24 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $186.21 | Professional | None | $131.83 | $186.21 | $186.21 |
BCBS Kansas Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $707.95 Typical High $707.95 | Facility | None | $288.40 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $186.21 | Professional | None | $112.20 | $158.49 | $186.21 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $1,584.89 | Facility | None | $54.95 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Professional | None | $114.82 | $190.55 | $891.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $177.83 | Professional | None | $104.71 | $165.96 | $177.83 |
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 $66.07 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $138.04 Typical High $141.25 | Professional | 54 · Surgery only | $100.00 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $19.95 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $13.18 | $18.62 | $18.62 |
Where Kansas sits
The same service costs 4.8 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· 13th of 51
$170
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.