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 $144.54 Median $165.96 Typical High $208.93 | Professional | None | $144.54 | $165.96 | $208.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $707.95 | Facility | None | $389.05 | $660.69 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $645.65 | Professional | None | $144.54 | $208.93 | $645.65 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $707.95 Typical High $12,022.64 | Facility | None | $245.47 | $707.95 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $1,995.26 | Professional | None | $128.82 | $151.36 | $1,995.26 |
United Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $2,454.71 | Facility | None | $331.13 | $691.83 | $2,454.71 |
United Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $275.42 | Professional | None | $123.03 | $151.36 | $275.42 |
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 $72.44 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $72.44 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | 54 · Surgery only | $107.15 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $25.12 Typical High $30.90 | Professional | 55 · Aftercare only | $21.38 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $16.60 Typical High $20.89 | Professional | 56 · Pre-op care only | $14.45 | $16.60 | $20.89 |
Where Kansas sits
The same service costs 4.3 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· 17th of 51
$302
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.