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 $645.65 Median $741.31 Typical High $912.01 | Professional | None | $645.65 | $741.31 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
BCBS Kansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $6,606.93 Typical High $6,760.83 | Facility | None | $691.83 | $6,606.93 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,174.90 | Professional | None | $549.54 | $794.33 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $912.01 Typical High $3,801.89 | Facility | None | $54.95 | $912.01 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $724.44 Typical High $4,168.69 | Professional | None | $602.56 | $724.44 | $4,168.69 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,023.29 | Professional | None | $588.84 | $691.83 | $1,023.29 |
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 $323.59 Median $363.08 Typical High $457.09 | Professional | 52 · Reduced service | $323.59 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $147.91 Typical High $181.97 | Professional | 53 · Discontinued | $128.82 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $478.63 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $95.50 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $74.13 Typical High $91.20 | Professional | 56 · Pre-op care only | $64.57 | $74.13 | $91.20 |
Where Kansas sits
The same service costs 3.9 times more in Alaska than in New York. 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· 20th of 51
$933
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.