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 $5,495.41 Typical High $9,549.93 | Facility | None | $1,698.24 | $5,495.41 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $302.00 | Professional | None | $208.93 | $295.12 | $302.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $489.78 | Facility | None | $478.63 | $478.63 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $398.11 | Professional | None | $208.93 | $275.42 | $398.11 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $831.76 Typical High $4,466.84 | Facility | None | $281.84 | $831.76 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $1,148.15 | Professional | None | $199.53 | $275.42 | $1,148.15 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,248.07 | Facility | None | $407.38 | $1,000.00 | $5,248.07 |
United Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $446.68 | Professional | None | $194.98 | $275.42 | $446.68 |
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 $104.71 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $41.69 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $218.78 Typical High $223.87 | Professional | 54 · Surgery only | $154.88 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $43.65 Typical High $45.71 | Professional | 55 · Aftercare only | $30.90 | $43.65 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $29.51 Typical High $30.20 | Professional | 56 · Pre-op care only | $20.89 | $29.51 | $30.20 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in New York. 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· 18th of 51
$324
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.