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 $109.65 Median $131.83 Typical High $169.82 | Professional | None | $109.65 | $131.83 | $169.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $549.54 | Facility | None | $371.54 | $478.63 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $234.42 | Professional | None | $107.15 | $151.36 | $234.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $478.63 Typical High $2,089.30 | Facility | None | $54.95 | $478.63 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $812.83 | Professional | None | $112.20 | $134.90 | $812.83 |
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 $109.65 Median $125.89 Typical High $204.17 | Professional | None | $109.65 | $125.89 | $204.17 |
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 $54.95 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $97.72 Typical High $125.89 | Professional | 54 · Surgery only | $81.28 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.50 Typical High $25.12 | Professional | 55 · Aftercare only | $16.22 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.18 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.96 | $13.18 | $16.98 |
Where Kansas sits
The same service costs 4.4 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· 25th of 51
$182
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.