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 $2,754.23 Median $3,801.89 Typical High $12,022.64 | Facility | None | $2,754.23 | $3,801.89 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,801.89 | Professional | None | $2,754.23 | $3,090.30 | $3,801.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $4,677.35 Typical High $11,748.98 | Facility | None | $512.86 | $4,677.35 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $3,311.31 Typical High $19,952.62 | Professional | None | $457.09 | $3,311.31 | $19,952.62 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $5,370.32 Typical High $12,882.50 | Facility | None | $2,238.72 | $5,370.32 | $12,882.50 |
United Setting Professional Modifier None Typical Low $257.04 Median $549.54 Typical High $4,677.35 | Professional | None | $257.04 | $549.54 | $4,677.35 |
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 $1,380.38 Median $1,513.56 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,380.38 | $1,513.56 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $602.56 Typical High $676.08 | Professional | 53 · Discontinued | $549.54 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,238.72 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,089.30 | $2,238.72 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $446.68 Typical High $501.19 | Professional | 55 · Aftercare only | $416.87 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $302.00 Typical High $338.84 | Professional | 56 · Pre-op care only | $275.42 | $302.00 | $338.84 |
Where Kansas sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 36th of 51
$2,754
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.