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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,659.59 | $2,344.23 | $2,344.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,090.30 | $3,235.94 | $3,235.94 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $14,791.08 | Facility | None | $1,659.59 | $2,630.27 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $16,982.44 | Professional | None | $1,348.96 | $2,089.30 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,445.44 | $1,621.81 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,584.89 | $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 $812.83 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $812.83 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $467.74 Typical High $478.63 | Professional | 53 · Discontinued | $331.13 | $467.74 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $245.47 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $165.96 | $234.42 | $234.42 |
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· 5th of 51
$3,090
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.