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 $2,884.03 Median $2,884.03 Typical High $5,128.61 | Facility | None | $2,884.03 | $2,884.03 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,162.28 | Professional | None | $2,454.71 | $3,019.95 | $3,162.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,630.27 | $2,754.23 | $2,754.23 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $4,897.79 | Facility | None | $2,754.23 | $3,090.30 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $2,691.53 Typical High $2,691.53 | Professional | None | $114.82 | $2,691.53 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $2,818.38 | Facility | None | $1,737.80 | $2,630.27 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,511.89 | $2,754.23 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $3,019.95 | Professional | None | $2,630.27 | $2,818.38 | $3,019.95 |
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 $1,230.27 Median $1,513.56 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,230.27 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $602.56 Typical High $630.96 | Professional | 53 · Discontinued | $489.78 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $457.09 Typical High $478.63 | Professional | 55 · Aftercare only | $371.54 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $302.00 Typical High $316.23 | Professional | 56 · Pre-op care only | $245.47 | $302.00 | $316.23 |
Where Kansas sits
The same service costs 25.1 times more in Arizona than in Montana. 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· 12th of 51
$2,692
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.