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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $389.05 | Professional | None | $257.04 | $281.84 | $389.05 |
BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $2,691.53 | Facility | None | $380.19 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $478.63 | Professional | None | $263.03 | $389.05 | $478.63 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $588.84 Typical High $4,466.84 | Facility | None | $54.95 | $588.84 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $501.19 Typical High $4,365.16 | Professional | None | $269.15 | $501.19 | $4,365.16 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $416.87 | Professional | None | $251.19 | $302.00 | $416.87 |
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 $125.89 Median $141.25 Typical High $194.98 | Professional | 52 · Reduced service | $125.89 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $57.54 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $213.80 Typical High $295.12 | Professional | 54 · Surgery only | $190.55 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $42.66 Typical High $58.88 | Professional | 55 · Aftercare only | $38.02 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.18 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.70 | $28.18 | $38.90 |
Where Kansas sits
The same service costs 5.0 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· 18th of 51
$363
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.