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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $316.23 | Professional | None | $109.65 | $213.80 | $316.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $3,890.45 | Facility | None | $1,445.44 | $3,715.35 | $3,890.45 |
BCBS Kansas Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $331.13 | Professional | None | $158.49 | $158.49 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $2,041.74 Typical High $2,238.72 | Facility | None | $380.19 | $2,041.74 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $199.53 Typical High $489.78 | Professional | None | $93.33 | $199.53 | $489.78 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $616.60 Typical High $12,022.64 | Facility | None | $229.09 | $616.60 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $2,344.23 | Professional | None | $245.47 | $363.08 | $2,344.23 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,691.53 | Facility | None | $331.13 | $691.83 | $2,691.53 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $389.05 | Professional | None | $134.90 | $194.98 | $389.05 |
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 $53.70 Median $91.20 Typical High $158.49 | Professional | 52 · Reduced service | $53.70 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $36.31 Typical High $63.10 | Professional | 53 · Discontinued | $21.88 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $138.04 Typical High $234.42 | Professional | 54 · Surgery only | $81.28 | $138.04 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $27.54 Typical High $46.77 | Professional | 55 · Aftercare only | $16.22 | $27.54 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $18.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $10.96 | $18.20 | $31.62 |
Where Kansas sits
The same service costs 4.1 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· 4th of 51
$417
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.