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 $1,905.46 Median $2,691.53 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,691.53 | $2,754.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,995.26 | $2,089.30 | $2,089.30 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $17,782.79 | Facility | None | $1,905.46 | $3,090.30 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $22,387.21 | Professional | None | $1,548.82 | $2,454.71 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Facility | None | $2,187.76 | $2,290.87 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,819.70 | $2,511.89 |
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 $954.99 Median $1,348.96 Typical High $1,380.38 | Professional | 52 · Reduced service | $954.99 | $1,348.96 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $537.03 Typical High $549.54 | Professional | 53 · Discontinued | $380.19 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $288.40 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $269.15 Typical High $275.42 | Professional | 56 · Pre-op care only | $190.55 | $269.15 | $275.42 |
Where Kansas sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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· 18th of 51
$2,570
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.