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 $114.82 Median $223.87 Typical High $354.81 | Professional | None | $114.82 | $223.87 | $354.81 |
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 $186.21 Median $186.21 Typical High $302.00 | Professional | None | $186.21 | $186.21 | $302.00 |
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 $123.03 Median $218.78 Typical High $346.74 | Professional | None | $123.03 | $218.78 | $346.74 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $891.25 Typical High $12,022.64 | Facility | None | $199.53 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $851.14 Typical High $1,621.81 | Professional | None | $229.09 | $851.14 | $1,621.81 |
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 $120.23 Median $199.53 Typical High $269.15 | Professional | None | $120.23 | $199.53 | $269.15 |
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 $57.54 Median $100.00 Typical High $177.83 | Professional | 52 · Reduced service | $57.54 | $100.00 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $70.79 | Professional | 53 · Discontinued | $23.44 | $39.81 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $147.91 Typical High $269.15 | Professional | 54 · Surgery only | $87.10 | $147.91 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $29.51 Typical High $53.70 | Professional | 55 · Aftercare only | $17.38 | $29.51 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $19.95 Typical High $35.48 | Professional | 56 · Pre-op care only | $11.48 | $19.95 | $35.48 |
Where Kansas sits
The same service costs 3.8 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· 16th of 51
$251
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.