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 $107.15 Median $199.53 Typical High $338.84 | Professional | None | $107.15 | $199.53 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $1,202.26 | Facility | None | $776.25 | $812.83 | $1,202.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $281.84 | Professional | None | $169.82 | $169.82 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,905.46 Typical High $1,949.84 | Facility | None | $389.05 | $1,905.46 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $199.53 Typical High $323.59 | Professional | None | $104.71 | $199.53 | $323.59 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $1,348.96 Typical High $12,022.64 | Facility | None | $169.82 | $1,348.96 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $831.76 Typical High $1,548.82 | Professional | None | $213.80 | $831.76 | $1,548.82 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $102.33 Median $186.21 Typical High $251.19 | Professional | None | $102.33 | $186.21 | $251.19 |
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 $52.48 Median $93.33 Typical High $169.82 | Professional | 52 · Reduced service | $52.48 | $93.33 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $37.15 Typical High $67.61 | Professional | 53 · Discontinued | $21.38 | $37.15 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $141.25 Typical High $257.04 | Professional | 54 · Surgery only | $79.43 | $141.25 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $28.18 Typical High $51.29 | Professional | 55 · Aftercare only | $15.85 | $28.18 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $18.62 Typical High $33.88 | Professional | 56 · Pre-op care only | $10.72 | $18.62 | $33.88 |
Where Kansas sits
The same service costs 4.0 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· 14th of 51
$234
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.