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 $100.00 Median $147.91 Typical High $199.53 | Professional | None | $100.00 | $147.91 | $199.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $173.78 | Professional | None | $89.13 | $134.90 | $173.78 |
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 $104.71 Median $186.21 Typical High $912.01 | Professional | None | $104.71 | $186.21 | $912.01 |
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 $83.18 Median $107.15 Typical High $173.78 | Professional | None | $83.18 | $107.15 | $173.78 |
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 $50.12 Median $74.13 Typical High $97.72 | Professional | 52 · Reduced service | $50.12 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $29.51 Typical High $39.81 | Professional | 53 · Discontinued | $19.95 | $29.51 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $112.20 Typical High $147.91 | Professional | 54 · Surgery only | $75.86 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.39 Typical High $29.51 | Professional | 55 · Aftercare only | $15.14 | $22.39 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.79 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.00 | $14.79 | $19.95 |
Where Kansas sits
The same service costs 3.8 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· 21st of 51
$132
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.