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 $1,174.90 Median $2,754.23 Typical High $7,943.28 | Facility | None | $1,174.90 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $851.14 | Professional | None | $602.56 | $691.83 | $851.14 |
BCBS Kansas Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
BCBS Kansas Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $446.68 | Facility | None | $338.84 | $436.52 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,096.48 | Professional | None | $512.86 | $758.58 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $676.08 Typical High $2,754.23 | Facility | None | $54.95 | $676.08 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $3,890.45 | Professional | None | $575.44 | $676.08 | $3,890.45 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $977.24 | Professional | None | $549.54 | $645.65 | $977.24 |
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 $302.00 Median $346.74 Typical High $426.58 | Professional | 52 · Reduced service | $302.00 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $138.04 Typical High $169.82 | Professional | 53 · Discontinued | $120.23 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $524.81 Typical High $645.65 | Professional | 54 · Surgery only | $457.09 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $104.71 Typical High $128.82 | Professional | 55 · Aftercare only | $91.20 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $69.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $60.26 | $69.18 | $85.11 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 31st of 51
$708
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.