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 $302.00 Median $2,754.23 Typical High $7,943.28 | Facility | None | $302.00 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $281.84 | Professional | None | $114.82 | $186.21 | $281.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $831.76 Typical High $870.96 | Facility | None | $128.82 | $831.76 | $870.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $380.19 | Facility | None | $128.82 | $158.49 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $257.04 | Professional | None | $123.03 | $213.80 | $257.04 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $524.81 Typical High $2,089.30 | Facility | None | $54.95 | $524.81 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $851.14 Typical High $1,318.26 | Professional | None | $190.55 | $851.14 | $1,318.26 |
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 $138.04 Median $181.97 Typical High $251.19 | Professional | None | $138.04 | $181.97 | $251.19 |
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 $57.54 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $57.54 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $37.15 Typical High $56.23 | Professional | 53 · Discontinued | $22.91 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $138.04 Typical High $213.80 | Professional | 54 · Surgery only | $87.10 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $27.54 Typical High $42.66 | Professional | 55 · Aftercare only | $17.38 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $18.62 Typical High $28.18 | Professional | 56 · Pre-op care only | $11.48 | $18.62 | $28.18 |
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· 14th of 51
$219
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.