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 $2,137.96 Median $2,137.96 Typical High $3,715.35 | Facility | None | $2,137.96 | $2,137.96 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,398.83 | $2,951.21 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,511.89 | $2,691.53 | $2,691.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $6,309.57 Typical High $8,511.38 | Facility | None | $2,187.76 | $6,309.57 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Facility | None | $1,995.26 | $1,995.26 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,398.83 | Professional | None | $2,089.30 | $2,089.30 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,137.96 | $2,398.83 |
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 $1,071.52 Median $1,202.26 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,071.52 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $478.63 Typical High $588.84 | Professional | 53 · Discontinued | $426.58 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $363.08 Typical High $436.52 | Professional | 55 · Aftercare only | $323.59 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $239.88 Typical High $295.12 | Professional | 56 · Pre-op care only | $213.80 | $239.88 | $295.12 |
Where Kansas sits
The same service costs 2.0 times more in Arizona than in Alabama. 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· 6th of 51
$2,512
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.