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 $3,467.37 Typical High $7,943.28 | Facility | None | $1,023.29 | $3,467.37 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $281.84 | Professional | None | $95.50 | $151.36 | $281.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $776.25 Median $812.83 Typical High $1,698.24 | Facility | None | $776.25 | $812.83 | $1,698.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $288.40 | Professional | None | $190.55 | $190.55 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,905.46 Typical High $1,949.84 | Facility | None | $562.34 | $1,905.46 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $316.23 | Professional | None | $100.00 | $169.82 | $316.23 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $1,348.96 Typical High $16,218.10 | Facility | None | $158.49 | $1,348.96 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $870.96 Typical High $1,318.26 | Professional | None | $181.97 | $870.96 | $1,318.26 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,737.80 Typical High $4,677.35 | Facility | None | $831.76 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $223.87 | Professional | None | $104.71 | $162.18 | $223.87 |
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 $75.86 Typical High $141.25 | Professional | 52 · Reduced service | $47.86 | $75.86 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $30.20 Typical High $57.54 | Professional | 53 · Discontinued | $19.05 | $30.20 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $114.82 Typical High $213.80 | Professional | 54 · Surgery only | $70.79 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $22.91 Typical High $42.66 | Professional | 55 · Aftercare only | $14.13 | $22.91 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $15.14 Typical High $28.18 | Professional | 56 · Pre-op care only | $9.55 | $15.14 | $28.18 |
Where Kansas sits
The same service costs 3.6 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· 14th of 51
$209
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.