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 $954.99 Median $2,754.23 Typical High $7,943.28 | Facility | None | $954.99 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $524.81 Typical High $1,122.02 | Professional | None | $208.93 | $524.81 | $1,122.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $851.14 | Professional | None | $223.87 | $223.87 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $776.25 | Facility | None | $537.03 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $676.08 Typical High $1,000.00 | Professional | None | $186.21 | $676.08 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $851.14 Typical High $3,019.95 | Facility | None | $54.95 | $851.14 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $2,630.27 Typical High $5,128.61 | Professional | None | $707.95 | $2,630.27 | $5,128.61 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,311.31 | Facility | None | $501.19 | $1,047.13 | $3,311.31 |
United Setting Professional Modifier None Typical Low $177.83 Median $575.44 Typical High $1,071.52 | Professional | None | $177.83 | $575.44 | $1,071.52 |
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 $107.15 Median $208.93 Typical High $562.34 | Professional | 52 · Reduced service | $107.15 | $208.93 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $85.11 Typical High $229.09 | Professional | 53 · Discontinued | $42.66 | $85.11 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $316.23 Typical High $851.14 | Professional | 54 · Surgery only | $162.18 | $316.23 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $63.10 Typical High $169.82 | Professional | 55 · Aftercare only | $32.36 | $63.10 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $42.66 Typical High $112.20 | Professional | 56 · Pre-op care only | $21.38 | $42.66 | $112.20 |
Where Kansas sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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
$832
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.