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 $239.88 Median $275.42 Typical High $380.19 | Professional | None | $239.88 | $275.42 | $380.19 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $954.99 Typical High $1,000.00 | Facility | None | $645.65 | $954.99 | $1,000.00 |
BCBS Kansas 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 $630.96 Median $870.96 Typical High $912.01 | Facility | None | $630.96 | $870.96 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | None | $251.19 | $338.84 | $338.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $851.14 Typical High $3,630.78 | Facility | None | $54.95 | $851.14 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $1,698.24 | Professional | None | $269.15 | $426.58 | $1,698.24 |
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 $239.88 Median $275.42 Typical High $407.38 | Professional | None | $239.88 | $275.42 | $407.38 |
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 $117.49 Median $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $117.49 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | 53 · Discontinued | $47.86 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $208.93 Typical High $281.84 | Professional | 54 · Surgery only | $177.83 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $41.69 Typical High $56.23 | Professional | 55 · Aftercare only | $35.48 | $41.69 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $27.54 Typical High $38.02 | Professional | 56 · Pre-op care only | $23.99 | $27.54 | $38.02 |
Where Kansas sits
The same service costs 4.7 times more in Wyoming 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.