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 $81.28 Median $4,677.35 Typical High $9,549.93 | Facility | None | $81.28 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $81.28 | Professional | None | $38.02 | $52.48 | $81.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $57.54 | Facility | None | $25.12 | $25.12 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $61.66 | Professional | None | $35.48 | $41.69 | $61.66 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,380.38 | Facility | None | $54.95 | $186.21 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $416.87 Typical High $812.83 | Professional | None | $44.67 | $416.87 | $812.83 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $56.23 | Professional | None | $36.31 | $45.71 | $56.23 |
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 $19.05 Median $26.30 Typical High $40.74 | Professional | 52 · Reduced service | $19.05 | $26.30 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $10.47 Typical High $16.22 | Professional | 53 · Discontinued | $7.59 | $10.47 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $39.81 Typical High $60.26 | Professional | 54 · Surgery only | $28.84 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $7.94 Typical High $12.02 | Professional | 55 · Aftercare only | $5.75 | $7.94 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.25 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.80 | $5.25 | $8.13 |
Where Kansas sits
The same service costs 3.8 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· 10th of 51
$67.61
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.