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 $1,174.90 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,174.90 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $676.08 | Professional | None | $426.58 | $489.78 | $676.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $3,235.94 | Facility | None | $954.99 | $1,000.00 | $3,235.94 |
BCBS Kansas Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $6,025.60 Typical High $6,309.57 | Facility | None | $1,698.24 | $6,025.60 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $776.25 | Professional | None | $446.68 | $660.69 | $776.25 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,290.87 Typical High $26,302.68 | Facility | None | $630.96 | $2,290.87 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $3,311.31 | Professional | None | $457.09 | $851.14 | $3,311.31 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $724.44 | Professional | None | $426.58 | $501.19 | $724.44 |
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 $208.93 Median $245.47 Typical High $338.84 | Professional | 52 · Reduced service | $208.93 | $245.47 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $97.72 Typical High $134.90 | Professional | 53 · Discontinued | $85.11 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $371.54 Typical High $501.19 | Professional | 54 · Surgery only | $316.23 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $74.13 Typical High $100.00 | Professional | 55 · Aftercare only | $63.10 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $48.98 Typical High $67.61 | Professional | 56 · Pre-op care only | $42.66 | $48.98 | $67.61 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 16th of 51
$646
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.