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 $151.36 Median $204.17 Typical High $204.17 | Professional | None | $151.36 | $204.17 | $204.17 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $2,691.53 Typical High $2,818.38 | Facility | None | $389.05 | $2,691.53 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $263.03 | Professional | None | $123.03 | $173.78 | $263.03 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $2,290.87 Typical High $12,022.64 | Facility | None | $218.78 | $2,290.87 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $1,698.24 | Professional | None | $125.89 | $181.97 | $1,698.24 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,456.54 | Facility | None | $691.83 | $2,187.76 | $6,456.54 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $257.04 | Professional | None | $125.89 | $181.97 | $257.04 |
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 $75.86 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $151.36 Typical High $151.36 | Professional | 54 · Surgery only | $112.20 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.20 Typical High $30.90 | Professional | 55 · Aftercare only | $22.39 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $15.14 | $20.42 | $20.42 |
Where Kansas sits
The same service costs 12.9 times more in Arkansas than in New York. 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
$631
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.