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 $87.10 Median $87.10 Typical High $128.82 | Facility | None | $87.10 | $87.10 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $89.13 | Professional | None | $61.66 | $87.10 | $89.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $112.20 | Professional | None | $67.61 | $79.43 | $112.20 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $331.13 Typical High $1,380.38 | Facility | None | $91.20 | $331.13 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $588.84 | Professional | None | $69.18 | $91.20 | $588.84 |
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 $64.57 Median $91.20 Typical High $131.83 | Professional | None | $64.57 | $91.20 | $131.83 |
1 more rate 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 54 · Surgery only Typical Low $45.71 Median $64.57 Typical High $66.07 | Professional | 54 · Surgery only | $45.71 | $64.57 | $66.07 |
Where Kansas sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 22nd of 51
$93.33
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.