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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $5,370.32 Typical High $5,370.32 | Professional | None | $3,715.35 | $5,370.32 | $5,370.32 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,623.41 Median $5,754.40 Typical High $5,888.44 | Facility | None | $5,623.41 | $5,754.40 | $5,888.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $3,801.89 Median $6,025.60 Typical High $34,673.69 | Facility | None | $3,801.89 | $6,025.60 | $34,673.69 |
Medica Setting Professional Modifier None Typical Low $3,019.95 Median $4,570.88 Typical High $52,480.75 | Professional | None | $3,019.95 | $4,570.88 | $52,480.75 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $8,317.64 | Facility | None | $4,073.80 | $4,897.79 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $4,677.35 | Professional | None | $2,398.83 | $3,630.78 | $4,677.35 |
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 $1,862.09 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,862.09 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $741.31 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $794.33 Typical High $812.83 | Professional | 55 · Aftercare only | $562.34 | $794.33 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $371.54 | $537.03 | $537.03 |
Where Kansas sits
The same service costs 3.9 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· 15th of 51
$5,754
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.