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 $32,359.37 Median $32,359.37 Typical High $32,359.37 | Facility | None | $32,359.37 | $32,359.37 | $32,359.37 |
Aetna Setting Professional Modifier None Typical Low $22,387.21 Median $32,359.37 Typical High $32,359.37 | Professional | None | $22,387.21 | $32,359.37 | $32,359.37 |
BCBS Kansas Setting Professional Modifier None Typical Low $52,480.75 Median $52,480.75 Typical High $52,480.75 | Professional | None | $52,480.75 | $52,480.75 | $52,480.75 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Medica Setting Facility Modifier None Typical Low $22,908.68 Median $36,307.81 Typical High $204,173.79 | Facility | None | $22,908.68 | $36,307.81 | $204,173.79 |
Medica Setting Professional Modifier None Typical Low $18,197.01 Median $28,840.32 Typical High $245,470.89 | Professional | None | $18,197.01 | $28,840.32 | $245,470.89 |
United Setting Facility Modifier None Typical Low $45,708.82 Median $45,708.82 Typical High $53,703.18 | Facility | None | $45,708.82 | $45,708.82 | $53,703.18 |
United Setting Professional Modifier None Typical Low $14,454.40 Median $21,877.62 Typical High $30,199.52 | Professional | None | $14,454.40 | $21,877.62 | $30,199.52 |
4 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 $11,220.18 Median $16,218.10 Typical High $16,218.10 | Professional | 52 · Reduced service | $11,220.18 | $16,218.10 | $16,218.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,466.84 Median $6,456.54 Typical High $6,456.54 | Professional | 53 · Discontinued | $4,466.84 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,388.44 Median $4,786.30 Typical High $4,897.79 | Professional | 55 · Aftercare only | $3,388.44 | $4,786.30 | $4,897.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,238.72 Median $3,235.94 Typical High $3,235.94 | Professional | 56 · Pre-op care only | $2,238.72 | $3,235.94 | $3,235.94 |
Where Kansas sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 16th of 51
$33,113
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.