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 $165.96 Median $389.05 Typical High $676.08 | Professional | None | $165.96 | $389.05 | $676.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $870.96 Median $912.01 Typical High $954.99 | Facility | None | $870.96 | $912.01 | $954.99 |
BCBS Kansas Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $616.60 | Professional | None | $331.13 | $331.13 | $616.60 |
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 $177.83 Median $407.38 Typical High $575.44 | Professional | None | $177.83 | $407.38 | $575.44 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $954.99 Typical High $12,022.64 | Facility | None | $302.00 | $954.99 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $1,949.84 Typical High $3,090.30 | Professional | None | $436.52 | $1,949.84 | $3,090.30 |
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 $371.54 Typical High $524.81 | Professional | None | $177.83 | $371.54 | $524.81 |
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 $83.18 Median $162.18 Typical High $338.84 | Professional | 52 · Reduced service | $83.18 | $162.18 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $64.57 Typical High $134.90 | Professional | 53 · Discontinued | $33.11 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $239.88 Typical High $501.19 | Professional | 54 · Surgery only | $123.03 | $239.88 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $47.86 Typical High $100.00 | Professional | 55 · Aftercare only | $25.12 | $47.86 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $29.51 Typical High $67.61 | Professional | 56 · Pre-op care only | $16.60 | $29.51 | $67.61 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 11th of 51
$479
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.