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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $446.68 | Professional | None | $309.03 | $354.81 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $5,888.44 Typical High $6,165.95 | Facility | None | $1,949.84 | $5,888.44 | $6,165.95 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,019.95 Typical High $3,162.28 | Facility | None | $645.65 | $3,019.95 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $489.78 Typical High $776.25 | Professional | None | $302.00 | $489.78 | $776.25 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $2,398.83 Typical High $26,302.68 | Facility | None | $630.96 | $2,398.83 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $4,786.30 | Professional | None | $354.81 | $467.74 | $4,786.30 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $6,025.60 | Facility | None | $691.83 | $2,290.87 | $6,025.60 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $602.56 | Professional | None | $331.13 | $398.11 | $602.56 |
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 $154.88 Median $177.83 Typical High $223.87 | Professional | 52 · Reduced service | $154.88 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $72.44 Typical High $89.13 | Professional | 53 · Discontinued | $61.66 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $269.15 Typical High $338.84 | Professional | 54 · Surgery only | $229.09 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $53.70 Typical High $67.61 | Professional | 55 · Aftercare only | $45.71 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $35.48 Typical High $44.67 | Professional | 56 · Pre-op care only | $30.90 | $35.48 | $44.67 |
Where Kansas sits
The same service costs 10.0 times more in Oklahoma 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· 2nd of 51
$1,778
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.