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 $1,659.59 Median $3,630.78 Typical High $7,943.28 | Facility | None | $1,659.59 | $3,630.78 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $954.99 Typical High $1,659.59 | Professional | None | $275.42 | $954.99 | $1,659.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $660.69 | Facility | None | $630.96 | $660.69 | $660.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,479.11 | Professional | None | $363.08 | $363.08 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Facility | None | $15,488.17 | $15,488.17 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $1,071.52 Typical High $1,778.28 | Professional | None | $234.42 | $1,071.52 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,258.93 Typical High $8,912.51 | Facility | None | $363.08 | $1,258.93 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $3,801.89 Typical High $7,585.78 | Professional | None | $1,288.25 | $3,801.89 | $7,585.78 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $245.47 Median $831.76 Typical High $1,659.59 | Professional | None | $245.47 | $831.76 | $1,659.59 |
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 $134.90 Median $190.55 Typical High $831.76 | Professional | 52 · Reduced service | $134.90 | $190.55 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $75.86 Typical High $331.13 | Professional | 53 · Discontinued | $54.95 | $75.86 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $288.40 Typical High $1,258.93 | Professional | 54 · Surgery only | $204.17 | $288.40 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $251.19 | Professional | 55 · Aftercare only | $40.74 | $57.54 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $165.96 | Professional | 56 · Pre-op care only | $27.54 | $38.02 | $165.96 |
Where Kansas sits
The same service costs 4.1 times more in Washington than in Nebraska. 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· 4th of 51
$1,259
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.