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 $44.67 Median $72.44 Typical High $128.82 | Professional | None | $44.67 | $72.44 | $128.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $295.12 Typical High $309.03 | Facility | None | $64.57 | $295.12 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $162.18 | Professional | None | $114.82 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $436.52 Typical High $436.52 | Facility | None | $61.66 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $177.83 | Professional | None | $74.13 | $117.49 | $177.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $223.87 Typical High $1,288.25 | Facility | None | $54.95 | $223.87 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $1,023.29 | Professional | None | $81.28 | $138.04 | $1,023.29 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $144.54 | Professional | None | $51.29 | $81.28 | $144.54 |
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 $22.39 Median $36.31 Typical High $64.57 | Professional | 52 · Reduced service | $22.39 | $36.31 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $14.45 Typical High $25.70 | Professional | 53 · Discontinued | $8.91 | $14.45 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $54.95 Typical High $97.72 | Professional | 54 · Surgery only | $33.88 | $54.95 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.96 Typical High $19.50 | Professional | 55 · Aftercare only | $6.76 | $10.96 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $7.24 Typical High $12.88 | Professional | 56 · Pre-op care only | $4.47 | $7.24 | $12.88 |
Where Kansas sits
The same service costs 3.0 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· 10th of 51
$123
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.