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 $89.13 Median $186.21 Typical High $323.59 | Professional | None | $89.13 | $186.21 | $323.59 |
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 $134.90 Median $134.90 Typical High $263.03 | Professional | None | $134.90 | $134.90 | $263.03 |
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 $91.20 Median $181.97 Typical High $295.12 | Professional | None | $91.20 | $181.97 | $295.12 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $891.25 Typical High $12,022.64 | Facility | None | $144.54 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $794.33 Typical High $1,479.11 | Professional | None | $194.98 | $794.33 | $1,479.11 |
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 $87.10 Median $169.82 Typical High $234.42 | Professional | None | $87.10 | $169.82 | $234.42 |
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 $44.67 Median $83.18 Typical High $162.18 | Professional | 52 · Reduced service | $44.67 | $83.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $33.88 Typical High $64.57 | Professional | 53 · Discontinued | $17.78 | $33.88 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $125.89 Typical High $245.47 | Professional | 54 · Surgery only | $67.61 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $25.12 Typical High $48.98 | Professional | 55 · Aftercare only | $13.49 | $25.12 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $16.60 Typical High $32.36 | Professional | 56 · Pre-op care only | $8.91 | $16.60 | $32.36 |
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· 12th of 51
$224
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.