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 $1,584.89 Median $1,584.89 Typical High $2,511.89 | Facility | None | $1,584.89 | $1,584.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,584.89 | $2,089.30 | $2,511.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,137.96 | $2,238.72 | $2,238.72 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $5,370.32 Typical High $7,244.36 | Facility | None | $1,905.46 | $5,370.32 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,398.83 | Facility | None | $1,548.82 | $1,548.82 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,819.70 | $1,819.70 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,819.70 | $1,819.70 | $2,137.96 |
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 $794.33 Median $1,047.13 Typical High $1,258.93 | Professional | 52 · Reduced service | $794.33 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $416.87 Typical High $501.19 | Professional | 53 · Discontinued | $316.23 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $309.03 Typical High $380.19 | Professional | 55 · Aftercare only | $239.88 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $208.93 Typical High $251.19 | Professional | 56 · Pre-op care only | $158.49 | $208.93 | $251.19 |
Where Kansas sits
The same service costs 3.2 times more in Alabama than in Hawaii. 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· 8th 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.