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 $8,912.51 | Facility | None | $1,348.96 | $3,162.28 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $977.24 | Professional | None | $602.56 | $758.58 | $977.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $6,760.83 | Facility | None | $691.83 | $1,778.28 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $912.01 | Professional | None | $630.96 | $851.14 | $912.01 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $2,398.83 Typical High $6,309.57 | Facility | None | $602.56 | $2,398.83 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $4,466.84 | Professional | None | $309.03 | $398.11 | $4,466.84 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $6,918.31 | Facility | None | $691.83 | $2,290.87 | $6,918.31 |
United Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $467.74 | Professional | None | $295.12 | $323.59 | $467.74 |
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 $302.00 Median $380.19 Typical High $478.63 | Professional | 52 · Reduced service | $302.00 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $151.36 Typical High $194.98 | Professional | 53 · Discontinued | $120.23 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $562.34 Typical High $724.44 | Professional | 54 · Surgery only | $446.68 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $112.20 Typical High $144.54 | Professional | 55 · Aftercare only | $91.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $75.86 Typical High $97.72 | Professional | 56 · Pre-op care only | $60.26 | $75.86 | $97.72 |
Where Kansas sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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· 28th of 51
$631
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.