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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $2,754.23 | Professional | None | $1,778.28 | $2,570.40 | $2,754.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,570.40 | $2,691.53 | $2,691.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $17,378.01 | Facility | None | $1,737.80 | $2,691.53 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $25,703.96 | Professional | None | $1,230.27 | $1,862.09 | $25,703.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,621.81 | $2,137.96 |
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 $891.25 Median $1,288.25 Typical High $1,380.38 | Professional | 52 · Reduced service | $891.25 | $1,288.25 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $512.86 Typical High $549.54 | Professional | 53 · Discontinued | $354.81 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $380.19 Typical High $416.87 | Professional | 55 · Aftercare only | $269.15 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $257.04 Typical High $275.42 | Professional | 56 · Pre-op care only | $177.83 | $257.04 | $275.42 |
Where Kansas sits
The same service costs 4.4 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
$2,630
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.