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 $1,023.29 Median $2,754.23 Typical High $7,943.28 | Facility | None | $1,023.29 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $177.83 Typical High $316.23 | Professional | None | $85.11 | $177.83 | $316.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $162.18 Median $870.96 Typical High $912.01 | Facility | None | $162.18 | $870.96 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $263.03 | Professional | None | $117.49 | $117.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $489.78 Typical High $676.08 | Facility | None | $169.82 | $489.78 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $288.40 | Professional | None | $91.20 | $199.53 | $288.40 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $741.31 Typical High $3,019.95 | Facility | None | $54.95 | $741.31 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $724.44 Typical High $1,412.54 | Professional | None | $223.87 | $724.44 | $1,412.54 |
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 $95.50 Median $181.97 Typical High $263.03 | Professional | None | $95.50 | $181.97 | $263.03 |
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 $42.66 Median $83.18 Typical High $158.49 | Professional | 52 · Reduced service | $42.66 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $33.11 Typical High $63.10 | Professional | 53 · Discontinued | $16.98 | $33.11 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $123.03 Typical High $234.42 | Professional | 54 · Surgery only | $64.57 | $123.03 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $24.55 Typical High $46.77 | Professional | 55 · Aftercare only | $12.88 | $24.55 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $16.60 Typical High $31.62 | Professional | 56 · Pre-op care only | $8.51 | $16.60 | $31.62 |
Where Kansas sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$229
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.