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 $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | None | $120.23 | $144.54 | $229.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $245.47 Typical High $263.03 | Professional | None | $144.54 | $245.47 | $263.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $263.03 Typical High $1,445.44 | Facility | None | $54.95 | $263.03 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $1,862.09 | Professional | None | $138.04 | $263.03 | $1,862.09 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $239.88 | Professional | None | $134.90 | $151.36 | $239.88 |
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 $60.26 Median $72.44 Typical High $114.82 | Professional | 52 · Reduced service | $60.26 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $45.71 | Professional | 53 · Discontinued | $23.99 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $109.65 Typical High $169.82 | Professional | 54 · Surgery only | $91.20 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $21.88 Typical High $34.67 | Professional | 55 · Aftercare only | $18.20 | $21.88 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.45 Typical High $22.91 | Professional | 56 · Pre-op care only | $12.02 | $14.45 | $22.91 |
Where Kansas sits
The same service costs 3.7 times more in Alaska 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· 13th of 51
$214
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.