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 $85.11 Median $4,677.35 Typical High $9,549.93 | Facility | None | $85.11 | $4,677.35 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $134.90 | Professional | None | $40.74 | $81.28 | $134.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $131.83 | Facility | None | $81.28 | $125.89 | $131.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $131.83 | Professional | None | $66.07 | $66.07 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $89.13 Typical High $389.05 | Facility | None | $75.86 | $89.13 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $165.96 | Professional | None | $50.12 | $100.00 | $165.96 |
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 $107.15 Median $204.17 Typical High $707.95 | Professional | None | $107.15 | $204.17 | $707.95 |
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 $51.29 Median $100.00 Typical High $144.54 | Professional | None | $51.29 | $100.00 | $144.54 |
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 $20.42 Median $40.74 Typical High $67.61 | Professional | 52 · Reduced service | $20.42 | $40.74 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $16.60 Typical High $26.92 | Professional | 53 · Discontinued | $8.13 | $16.60 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $61.66 Typical High $102.33 | Professional | 54 · Surgery only | $30.90 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $12.30 Typical High $20.42 | Professional | 55 · Aftercare only | $6.17 | $12.30 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $8.13 Typical High $13.49 | Professional | 56 · Pre-op care only | $4.07 | $8.13 | $13.49 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 9th of 51
$126
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.