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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $537.03 | Professional | None | $154.88 | $275.42 | $537.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,454.71 | $2,454.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $575.44 | Professional | None | $288.40 | $288.40 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $380.19 Typical High $588.84 | Professional | None | $173.78 | $380.19 | $588.84 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $575.44 Typical High $1,513.56 | Facility | None | $234.42 | $575.44 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $1,288.25 Typical High $2,570.40 | Professional | None | $389.05 | $1,288.25 | $2,570.40 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $501.19 | Professional | None | $177.83 | $354.81 | $501.19 |
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 $77.62 Median $134.90 Typical High $269.15 | Professional | 52 · Reduced service | $77.62 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $53.70 Typical High $107.15 | Professional | 53 · Discontinued | $30.90 | $53.70 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $204.17 Typical High $407.38 | Professional | 54 · Surgery only | $117.49 | $204.17 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $40.74 Typical High $81.28 | Professional | 55 · Aftercare only | $23.44 | $40.74 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $26.92 Typical High $53.70 | Professional | 56 · Pre-op care only | $15.49 | $26.92 | $53.70 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 9th of 51
$447
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.