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 $95.50 Median $194.98 Typical High $338.84 | Professional | None | $95.50 | $194.98 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $812.83 | Facility | None | $549.54 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $309.03 | Professional | None | $158.49 | $158.49 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $870.96 Typical High $912.01 | Facility | None | $389.05 | $870.96 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $295.12 | Professional | None | $97.72 | $194.98 | $295.12 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $891.25 Typical High $12,022.64 | Facility | None | $158.49 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $812.83 Typical High $1,548.82 | Professional | None | $223.87 | $812.83 | $1,548.82 |
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 $100.00 Median $190.55 Typical High $257.04 | Professional | None | $100.00 | $190.55 | $257.04 |
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 $47.86 Median $89.13 Typical High $169.82 | Professional | 52 · Reduced service | $47.86 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $35.48 Typical High $67.61 | Professional | 53 · Discontinued | $19.05 | $35.48 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $134.90 Typical High $251.19 | Professional | 54 · Surgery only | $70.79 | $134.90 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $26.92 Typical High $50.12 | Professional | 55 · Aftercare only | $14.13 | $26.92 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $17.78 Typical High $33.88 | Professional | 56 · Pre-op care only | $9.55 | $17.78 | $33.88 |
Where Kansas sits
The same service costs 4.2 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
$240
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.