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 $676.08 Median $851.14 Typical High $1,096.48 | Professional | None | $676.08 | $851.14 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $724.44 Median $1,348.96 Typical High $1,348.96 | Professional | None | $724.44 | $1,348.96 | $1,348.96 |
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 $758.58 Median $933.25 Typical High $5,011.87 | Professional | None | $758.58 | $933.25 | $5,011.87 |
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 $724.44 Median $831.76 Typical High $1,148.15 | Professional | None | $724.44 | $831.76 | $1,148.15 |
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 $338.84 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $338.84 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $169.82 Typical High $218.78 | Professional | 53 · Discontinued | $134.90 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $630.96 Typical High $812.83 | Professional | 54 · Surgery only | $512.86 | $630.96 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | 55 · Aftercare only | $102.33 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $67.61 | $85.11 | $109.65 |
Where Kansas sits
The same service costs 4.7 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
$977
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.