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 $1,348.96 Median $3,162.28 Typical High $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $138.04 | Professional | None | $93.33 | $117.49 | $138.04 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,513.56 Typical High $1,698.24 | Facility | None | $380.19 | $1,513.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $162.18 | Professional | None | $77.62 | $104.71 | $162.18 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $1,023.29 Typical High $12,022.64 | Facility | None | $141.25 | $1,023.29 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $1,659.59 | Professional | None | $79.43 | $91.20 | $1,659.59 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $3,388.44 | Facility | None | $501.19 | $1,047.13 | $3,388.44 |
United Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $158.49 | Professional | None | $77.62 | $87.10 | $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 $46.77 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $87.10 Typical High $104.71 | Professional | 54 · Surgery only | $69.18 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $17.38 Typical High $20.89 | Professional | 55 · Aftercare only | $14.13 | $17.38 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $11.75 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.33 | $11.75 | $13.80 |
Where Kansas sits
The same service costs 11.2 times more in Tennessee 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· 14th of 51
$158
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.