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 $2,290.87 Median $3,090.30 Typical High $10,000.00 | Facility | None | $2,290.87 | $3,090.30 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,290.87 | $2,511.89 | $3,090.30 |
BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $2,884.03 Typical High $8,317.64 | Facility | None | $831.76 | $2,884.03 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,398.83 Typical High $16,982.44 | Professional | None | $741.31 | $2,398.83 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,168.69 Typical High $8,709.64 | Facility | None | $1,905.46 | $4,168.69 | $8,709.64 |
United Setting Professional Modifier None Typical Low $257.04 Median $891.25 Typical High $3,467.37 | Professional | None | $257.04 | $891.25 | $3,467.37 |
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 $1,148.15 Median $1,202.26 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,148.15 | $1,202.26 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $478.63 Typical High $562.34 | Professional | 53 · Discontinued | $457.09 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $1,819.70 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,698.24 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $363.08 Typical High $416.87 | Professional | 55 · Aftercare only | $346.74 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $239.88 Typical High $275.42 | Professional | 56 · Pre-op care only | $229.09 | $239.88 | $275.42 |
Where Kansas sits
The same service costs 9.5 times more in Oklahoma than in Indiana. 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· 40th of 51
$2,138
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.