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 $151.36 Median $4,677.35 Typical High $9,549.93 | Facility | None | $151.36 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $151.36 | Professional | None | $72.44 | $100.00 | $151.36 |
BCBS Kansas Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $213.80 Typical High $213.80 | Facility | None | $44.67 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $120.23 | Professional | None | $61.66 | $79.43 | $120.23 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $478.63 Typical High $575.44 | Professional | None | $81.28 | $478.63 | $575.44 |
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 $64.57 Median $83.18 Typical High $107.15 | Professional | None | $64.57 | $83.18 | $107.15 |
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 $36.31 Median $50.12 Typical High $75.86 | Professional | 52 · Reduced service | $36.31 | $50.12 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.95 Typical High $30.20 | Professional | 53 · Discontinued | $14.45 | $19.95 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $75.86 Typical High $114.82 | Professional | 54 · Surgery only | $54.95 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.14 Typical High $22.91 | Professional | 55 · Aftercare only | $10.96 | $15.14 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.00 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.24 | $10.00 | $15.14 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$107
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.