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 $1,000.00 Median $3,715.35 Typical High $19,054.61 | Facility | None | $1,000.00 | $3,715.35 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $588.84 | Professional | None | $281.84 | $416.87 | $588.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,691.53 Median $5,888.44 Typical High $6,165.95 | Facility | None | $2,691.53 | $5,888.44 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $616.60 | Professional | None | $389.05 | $389.05 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,019.95 Typical High $3,090.30 | Facility | None | $602.56 | $3,019.95 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $724.44 | Professional | None | $288.40 | $537.03 | $724.44 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $741.31 Typical High $16,218.10 | Facility | None | $380.19 | $741.31 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $4,897.79 | Professional | None | $407.38 | $549.54 | $4,897.79 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $3,235.94 | Facility | None | $331.13 | $691.83 | $3,235.94 |
United Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $630.96 | Professional | None | $309.03 | $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 $141.25 Median $208.93 Typical High $295.12 | Professional | 52 · Reduced service | $141.25 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $117.49 | Professional | 53 · Discontinued | $56.23 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $316.23 Typical High $436.52 | Professional | 54 · Surgery only | $213.80 | $316.23 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $63.10 Typical High $87.10 | Professional | 55 · Aftercare only | $42.66 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $41.69 Typical High $58.88 | Professional | 56 · Pre-op care only | $28.18 | $41.69 | $58.88 |
Where Kansas sits
The same service costs 3.9 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· 10th of 51
$603
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.