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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $190.55 | Professional | None | $81.28 | $114.82 | $190.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $257.04 | Professional | None | $173.78 | $173.78 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $181.97 | Professional | None | $79.43 | $138.04 | $181.97 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $177.83 Typical High $1,288.25 | Facility | None | $54.95 | $177.83 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $1,071.52 Typical High $3,548.13 | Professional | None | $117.49 | $1,071.52 | $3,548.13 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $158.49 | Professional | None | $75.86 | $112.20 | $158.49 |
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 $40.74 Median $57.54 Typical High $93.33 | Professional | 52 · Reduced service | $40.74 | $57.54 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $38.02 | Professional | 53 · Discontinued | $16.60 | $22.91 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $85.11 Typical High $141.25 | Professional | 54 · Surgery only | $61.66 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $28.18 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.48 Typical High $19.05 | Professional | 56 · Pre-op care only | $8.13 | $11.48 | $19.05 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 11th of 51
$155
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.