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 $4,168.69 Median $4,168.69 Typical High $6,760.83 | Facility | None | $4,168.69 | $4,168.69 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $5,370.32 | Professional | None | $3,890.45 | $4,365.16 | $5,370.32 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,168.69 | $4,365.16 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $3,981.07 Median $11,481.54 Typical High $15,488.17 | Facility | None | $3,981.07 | $11,481.54 | $15,488.17 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,786.30 | Facility | None | $3,388.44 | $3,630.78 | $4,786.30 |
Medica Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,570.88 | Professional | None | $3,630.78 | $3,630.78 | $4,570.88 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,801.89 | $3,801.89 | $4,677.35 |
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 $1,949.84 Median $2,187.76 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,949.84 | $2,187.76 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $870.96 Typical High $1,071.52 | Professional | 53 · Discontinued | $794.33 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $660.69 Typical High $794.33 | Professional | 55 · Aftercare only | $588.84 | $660.69 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $436.52 Typical High $537.03 | Professional | 56 · Pre-op care only | $389.05 | $436.52 | $537.03 |
Where Kansas sits
The same service costs 11.0 times more in Alabama than in Oklahoma. 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· 14th of 51
$4,169
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.