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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,479.11 | $1,621.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $1,548.82 | Facility | None | $1,445.44 | $1,513.56 | $1,548.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $10,000.00 | Facility | None | $1,023.29 | $1,548.82 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $12,022.64 | Professional | None | $724.44 | $1,071.52 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,258.93 | Professional | None | $630.96 | $933.25 | $1,258.93 |
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 $512.86 Median $741.31 Typical High $812.83 | Professional | 52 · Reduced service | $512.86 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $295.12 Typical High $323.59 | Professional | 53 · Discontinued | $204.17 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $223.87 Typical High $239.88 | Professional | 55 · Aftercare only | $154.88 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $147.91 Typical High $162.18 | Professional | 56 · Pre-op care only | $102.33 | $147.91 | $162.18 |
Where Kansas sits
The same service costs 3.3 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
$1,549
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.