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 $3,630.78 Typical High $7,943.28 | Facility | None | $1,698.24 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $933.25 | Professional | None | $588.84 | $724.44 | $933.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,819.70 Typical High $1,819.70 | Facility | None | $501.19 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $1,148.15 | Professional | None | $630.96 | $1,148.15 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $724.44 Typical High $16,218.10 | Facility | None | $158.49 | $724.44 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $4,265.80 | Professional | None | $660.69 | $812.83 | $4,265.80 |
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 $616.60 Median $707.95 Typical High $1,000.00 | Professional | None | $616.60 | $707.95 | $1,000.00 |
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 $295.12 Median $363.08 Typical High $467.74 | Professional | 52 · Reduced service | $295.12 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $144.54 Typical High $186.21 | Professional | 53 · Discontinued | $117.49 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $436.52 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $141.25 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | 56 · Pre-op care only | $58.88 | $72.44 | $93.33 |
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· 19th of 51
$832
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.