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 $85.11 Median $177.83 Typical High $354.81 | Professional | None | $85.11 | $177.83 | $354.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $812.83 | Facility | None | $446.68 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $309.03 | Professional | None | $144.54 | $144.54 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $707.95 | Facility | None | $380.19 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $199.53 Typical High $302.00 | Professional | None | $87.10 | $199.53 | $302.00 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $891.25 Typical High $12,022.64 | Facility | None | $138.04 | $891.25 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $851.14 Typical High $1,659.59 | Professional | None | $213.80 | $851.14 | $1,659.59 |
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 $89.13 Median $177.83 Typical High $257.04 | Professional | None | $89.13 | $177.83 | $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 $42.66 Median $81.28 Typical High $177.83 | Professional | 52 · Reduced service | $42.66 | $81.28 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $32.36 Typical High $70.79 | Professional | 53 · Discontinued | $16.98 | $32.36 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $120.23 Typical High $269.15 | Professional | 54 · Surgery only | $63.10 | $120.23 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $23.99 Typical High $53.70 | Professional | 55 · Aftercare only | $12.59 | $23.99 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $16.22 Typical High $35.48 | Professional | 56 · Pre-op care only | $8.51 | $16.22 | $35.48 |
Where Kansas sits
The same service costs 4.1 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· 10th 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.