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 $1,698.24 Median $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $524.81 | Professional | None | $436.52 | $512.86 | $524.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $2,691.53 | Facility | None | $380.19 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $1,047.13 | Professional | None | $426.58 | $691.83 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $707.95 Typical High $4,466.84 | Facility | None | $54.95 | $707.95 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $3,388.44 | Professional | None | $467.74 | $616.60 | $3,388.44 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $812.83 | Professional | None | $467.74 | $537.03 | $812.83 |
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 $218.78 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $218.78 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $89.13 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $380.19 Typical High $389.05 | Professional | 54 · Surgery only | $331.13 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $75.86 Typical High $77.62 | Professional | 55 · Aftercare only | $66.07 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $43.65 | $51.29 | $52.48 |
Where Kansas sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 16th of 51
$708
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.