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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $1,513.56 | Professional | None | $954.99 | $1,380.38 | $1,513.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,202.26 | $1,202.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $7,943.28 | Facility | None | $954.99 | $1,445.44 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $933.25 Typical High $13,182.57 | Professional | None | $575.44 | $933.25 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,041.74 | Facility | None | $1,000.00 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,122.02 | Professional | None | $575.44 | $870.96 | $1,122.02 |
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 $478.63 Median $691.83 Typical High $741.31 | Professional | 52 · Reduced service | $478.63 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $275.42 Typical High $302.00 | Professional | 53 · Discontinued | $190.55 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $208.93 Typical High $223.87 | Professional | 55 · Aftercare only | $144.54 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $138.04 Typical High $151.36 | Professional | 56 · Pre-op care only | $95.50 | $138.04 | $151.36 |
Where Kansas sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 17th of 51
$1,202
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.