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 $7,943.28 | Facility | None | $1,348.96 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $575.44 | Professional | None | $354.81 | $446.68 | $575.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,819.70 Typical High $1,819.70 | Facility | None | $371.54 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $630.96 | Professional | None | $380.19 | $630.96 | $630.96 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $562.34 Typical High $12,022.64 | Facility | None | $158.49 | $562.34 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $2,630.27 | Professional | None | $407.38 | $501.19 | $2,630.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,819.70 | Facility | None | $125.89 | $398.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $616.60 | Professional | None | $380.19 | $436.52 | $616.60 |
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 $177.83 Median $223.87 Typical High $288.40 | Professional | 52 · Reduced service | $177.83 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $89.13 Typical High $114.82 | Professional | 53 · Discontinued | $72.44 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $338.84 Typical High $436.52 | Professional | 54 · Surgery only | $269.15 | $338.84 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $67.61 Typical High $87.10 | Professional | 55 · Aftercare only | $53.70 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $44.67 Typical High $57.54 | Professional | 56 · Pre-op care only | $35.48 | $44.67 | $57.54 |
Where Kansas sits
The same service costs 4.9 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· 12th of 51
$575
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.