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 $3,162.28 Median $6,309.57 Typical High $10,964.78 | Facility | None | $3,162.28 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $4,897.79 Median $6,606.93 Typical High $7,943.28 | Professional | None | $4,897.79 | $6,606.93 | $7,943.28 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $2,398.83 | Facility | None | $691.83 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $5,623.41 Typical High $7,943.28 | Professional | None | $4,168.69 | $5,623.41 | $7,943.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $954.99 Typical High $7,762.47 | Facility | None | $54.95 | $954.99 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $30,199.52 | Professional | None | $4,168.69 | $4,897.79 | $30,199.52 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,023.29 Typical High $5,248.07 | Facility | None | $407.38 | $1,023.29 | $5,248.07 |
United Setting Professional Modifier None Typical Low $4,073.80 Median $4,365.16 Typical High $7,762.47 | Professional | None | $4,073.80 | $4,365.16 | $7,762.47 |
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 $2,570.40 Median $3,311.31 Typical High $3,981.07 | Professional | 52 · Reduced service | $2,570.40 | $3,311.31 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,348.96 Typical High $1,584.89 | Professional | 53 · Discontinued | $1,023.29 | $1,348.96 | $1,584.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,801.89 Median $5,011.87 Typical High $5,888.44 | Professional | 54 · Surgery only | $3,801.89 | $5,011.87 | $5,888.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $758.58 Median $1,000.00 Typical High $1,174.90 | Professional | 55 · Aftercare only | $758.58 | $1,000.00 | $1,174.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $660.69 Typical High $794.33 | Professional | 56 · Pre-op care only | $512.86 | $660.69 | $794.33 |
Where Kansas sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 28th of 51
$4,467
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.