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 $67.61 Median $128.82 Typical High $269.15 | Professional | None | $67.61 | $128.82 | $269.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $158.49 Median $776.25 Typical High $812.83 | Facility | None | $158.49 | $776.25 | $812.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $251.19 | Professional | None | $141.25 | $141.25 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $645.65 Typical High $676.08 | Facility | None | $173.78 | $645.65 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $263.03 | Professional | None | $70.79 | $147.91 | $263.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $562.34 Typical High $2,951.21 | Facility | None | $54.95 | $562.34 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $831.76 Typical High $1,230.27 | Professional | None | $158.49 | $831.76 | $1,230.27 |
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 $74.13 Median $134.90 Typical High $194.98 | Professional | None | $74.13 | $134.90 | $194.98 |
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 $33.88 Median $64.57 Typical High $134.90 | Professional | 52 · Reduced service | $33.88 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $25.70 Typical High $53.70 | Professional | 53 · Discontinued | $13.49 | $25.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $97.72 Typical High $199.53 | Professional | 54 · Surgery only | $51.29 | $97.72 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $19.50 Typical High $40.74 | Professional | 55 · Aftercare only | $10.23 | $19.50 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $12.88 Typical High $26.92 | Professional | 56 · Pre-op care only | $6.76 | $12.88 | $26.92 |
Where Kansas sits
The same service costs 3.7 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· 13th of 51
$174
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.