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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,122.02 | $1,621.81 | $1,778.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,659.59 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $9,772.37 | Facility | None | $1,096.48 | $1,698.24 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $13,803.84 | Professional | None | $676.08 | $1,096.48 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,479.11 | $2,398.83 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,318.26 | Professional | None | $676.08 | $1,023.29 | $1,318.26 |
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 $562.34 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $562.34 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $323.59 Typical High $354.81 | Professional | 53 · Discontinued | $223.87 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $239.88 Typical High $263.03 | Professional | 55 · Aftercare only | $169.82 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $112.20 | $162.18 | $177.83 |
Where Kansas sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 15th of 51
$1,660
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.