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 $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,348.96 | $1,949.84 | $2,137.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,949.84 | $1,995.26 | $2,041.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $12,589.25 | Facility | None | $1,348.96 | $2,041.74 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $15,135.61 | Professional | None | $933.25 | $1,412.54 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,479.11 | $1,513.56 | $3,311.31 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,659.59 | Professional | None | $831.76 | $1,230.27 | $1,659.59 |
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 $676.08 Median $977.24 Typical High $1,071.52 | Professional | 52 · Reduced service | $676.08 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $389.05 Typical High $426.58 | Professional | 53 · Discontinued | $275.42 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $295.12 Typical High $316.23 | Professional | 55 · Aftercare only | $204.17 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $194.98 Typical High $213.80 | Professional | 56 · Pre-op care only | $134.90 | $194.98 | $213.80 |
Where Kansas sits
The same service costs 2.7 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· 16th of 51
$2,042
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.