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 $478.63 Median $549.54 Typical High $562.34 | Professional | None | $478.63 | $549.54 | $562.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $389.05 | Facility | None | $251.19 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,122.02 | Professional | None | $457.09 | $741.31 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $407.38 Typical High $1,659.59 | Facility | None | $54.95 | $407.38 | $1,659.59 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $3,715.35 | Professional | None | $501.19 | $602.56 | $3,715.35 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $891.25 | Professional | None | $489.78 | $524.81 | $891.25 |
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 $239.88 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $239.88 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $95.50 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $416.87 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $83.18 Typical High $85.11 | Professional | 55 · Aftercare only | $72.44 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $54.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $47.86 | $54.95 | $56.23 |
Where Kansas sits
The same service costs 3.5 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· 39th of 51
$550
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.