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 $6,309.57 Typical High $13,182.57 | Facility | None | $1,698.24 | $6,309.57 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $316.23 | Professional | None | $208.93 | $245.47 | $316.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
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 $218.78 Median $346.74 Typical High $346.74 | Professional | None | $218.78 | $346.74 | $346.74 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $1,000.00 Typical High $5,011.87 | Facility | None | $316.23 | $1,000.00 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $3,090.30 | Professional | None | $229.09 | $269.15 | $3,090.30 |
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 $208.93 Median $245.47 Typical High $346.74 | Professional | None | $208.93 | $245.47 | $346.74 |
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 $102.33 Median $123.03 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $186.21 Typical High $239.88 | Professional | 54 · Surgery only | $154.88 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $37.15 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $24.55 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.89 | $24.55 | $31.62 |
Where Kansas sits
The same service costs 5.1 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
$324
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.