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 $1,949.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | None | $173.78 | $229.09 | $229.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,311.31 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,311.31 | $3,548.13 | $3,548.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $4,365.16 Typical High $5,370.32 | Facility | None | $602.56 | $4,365.16 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $346.74 | Professional | None | $151.36 | $213.80 | $346.74 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $3,715.35 Typical High $26,302.68 | Facility | None | $275.42 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $1,698.24 | Professional | None | $158.49 | $218.78 | $1,698.24 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $10,715.19 | Facility | None | $933.25 | $3,548.13 | $10,715.19 |
United Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $302.00 | Professional | None | $144.54 | $218.78 | $302.00 |
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 $85.11 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $34.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $169.82 Typical High $173.78 | Professional | 54 · Surgery only | $128.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $25.70 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $22.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $17.38 | $22.91 | $22.91 |
Where Kansas sits
The same service costs 20.4 times more in Kansas 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· 1st of 51
$3,020
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.