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 $407.38 Median $467.74 Typical High $575.44 | Professional | None | $407.38 | $467.74 | $575.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $3,630.78 Typical High $3,715.35 | Facility | None | $389.05 | $3,630.78 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $741.31 | Professional | None | $338.84 | $501.19 | $741.31 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,737.80 Typical High $12,022.64 | Facility | None | $575.44 | $1,737.80 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $2,630.27 | Professional | None | $380.19 | $457.09 | $2,630.27 |
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 $371.54 Median $436.52 Typical High $645.65 | Professional | None | $371.54 | $436.52 | $645.65 |
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 $204.17 Median $234.42 Typical High $288.40 | Professional | 52 · Reduced service | $204.17 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $93.33 Typical High $114.82 | Professional | 53 · Discontinued | $81.28 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $346.74 Typical High $426.58 | Professional | 54 · Surgery only | $302.00 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $85.11 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $46.77 Typical High $57.54 | Professional | 56 · Pre-op care only | $40.74 | $46.77 | $57.54 |
Where Kansas sits
The same service costs 7.8 times more in Oklahoma 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
$631
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.