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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $144.54 | Professional | None | $74.13 | $102.33 | $144.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $53.70 Median $1,862.09 Typical High $1,995.26 | Facility | None | $53.70 | $1,862.09 | $1,995.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | None | $93.33 | $93.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $57.54 Typical High $389.05 | Facility | None | $56.23 | $57.54 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | None | $72.44 | $97.72 | $158.49 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $380.19 Typical High $11,481.54 | Facility | None | $112.20 | $380.19 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $181.97 Typical High $1,949.84 | Professional | None | $93.33 | $181.97 | $1,949.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $144.54 | Professional | None | $70.79 | $93.33 | $144.54 |
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 $37.15 Median $51.29 Typical High $72.44 | Professional | 52 · Reduced service | $37.15 | $51.29 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $28.84 | Professional | 53 · Discontinued | $14.79 | $20.89 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $77.62 Typical High $107.15 | Professional | 54 · Surgery only | $56.23 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.49 Typical High $21.38 | Professional | 55 · Aftercare only | $11.22 | $15.49 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.23 Typical High $14.45 | Professional | 56 · Pre-op care only | $7.41 | $10.23 | $14.45 |
Where Kansas sits
The same service costs 3.5 times more in Wisconsin 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· 16th of 51
$123
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.