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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,511.89 | $3,630.78 | $3,630.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $4,073.80 | Facility | None | $3,890.45 | $4,073.80 | $4,073.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $4,073.80 Typical High $24,547.09 | Facility | None | $2,570.40 | $4,073.80 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $30,199.52 | Professional | None | $2,089.30 | $3,235.94 | $30,199.52 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $6,165.95 | Facility | None | $3,019.95 | $3,090.30 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,454.71 | $3,467.37 |
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 $1,258.93 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,258.93 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $501.19 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $537.03 Typical High $549.54 | Professional | 55 · Aftercare only | $380.19 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $251.19 | $363.08 | $363.08 |
Where Kansas sits
The same service costs 3.4 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
$3,890
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.