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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,995.26 | $2,187.76 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,089.30 | $2,137.96 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $12,302.69 | Facility | None | $1,380.38 | $2,089.30 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,380.38 Typical High $15,135.61 | Professional | None | $912.01 | $1,380.38 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,698.24 | Professional | None | $831.76 | $1,258.93 | $1,698.24 |
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 $691.83 Median $1,000.00 Typical High $1,071.52 | Professional | 52 · Reduced service | $691.83 | $1,000.00 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $398.11 Typical High $436.52 | Professional | 53 · Discontinued | $275.42 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $302.00 Typical High $323.59 | Professional | 55 · Aftercare only | $208.93 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $199.53 Typical High $218.78 | Professional | 56 · Pre-op care only | $138.04 | $199.53 | $218.78 |
Where Kansas sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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
$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.