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 $3,890.45 Typical High $8,912.51 | Facility | None | $1,174.90 | $3,890.45 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $549.54 | Professional | None | $389.05 | $446.68 | $549.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,737.80 Median $4,073.80 Typical High $4,265.80 | Facility | None | $1,737.80 | $4,073.80 | $4,265.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $2,344.23 | Facility | None | $602.56 | $2,137.96 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $707.95 | Professional | None | $354.81 | $501.19 | $707.95 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,698.24 Typical High $26,302.68 | Facility | None | $575.44 | $1,698.24 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $3,162.28 | Professional | None | $371.54 | $457.09 | $3,162.28 |
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 $354.81 Median $416.87 Typical High $630.96 | Professional | None | $354.81 | $416.87 | $630.96 |
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 $194.98 Median $223.87 Typical High $275.42 | Professional | 52 · Reduced service | $194.98 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $109.65 | Professional | 53 · Discontinued | $77.62 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | 54 · Surgery only | $295.12 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $67.61 Typical High $83.18 | Professional | 55 · Aftercare only | $58.88 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $44.67 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.90 | $44.67 | $54.95 |
Where Kansas sits
The same service costs 4.7 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· 3rd of 51
$1,288
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.