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 $2,691.53 Typical High $7,943.28 | Facility | None | $1,023.29 | $2,691.53 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $223.87 | Professional | None | $141.25 | $162.18 | $223.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $724.44 Median $870.96 Typical High $912.01 | Facility | None | $724.44 | $870.96 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,096.48 Typical High $1,230.27 | Facility | None | $389.05 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $446.68 | Professional | None | $147.91 | $295.12 | $446.68 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,023.29 Typical High $12,022.64 | Facility | None | $398.11 | $1,023.29 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $302.00 Typical High $1,862.09 | Professional | None | $162.18 | $302.00 | $1,862.09 |
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 $141.25 Median $165.96 Typical High $288.40 | Professional | None | $141.25 | $165.96 | $288.40 |
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 $70.79 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $70.79 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $44.67 | Professional | 53 · Discontinued | $28.18 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $123.03 Typical High $165.96 | Professional | 54 · Surgery only | $104.71 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $24.55 Typical High $33.88 | Professional | 55 · Aftercare only | $20.89 | $24.55 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.22 Typical High $22.39 | Professional | 56 · Pre-op care only | $14.13 | $16.22 | $22.39 |
Where Kansas sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 4th of 51
$316
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.