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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,479.11 | $1,513.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,348.96 | $1,348.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $8,317.64 | Facility | None | $1,047.13 | $1,698.24 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $10,000.00 | Professional | None | $776.25 | $1,148.15 | $10,000.00 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,089.30 | Facility | None | $173.78 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,288.25 | Professional | None | $645.65 | $1,000.00 | $1,288.25 |
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 $524.81 Median $741.31 Typical High $758.58 | Professional | 52 · Reduced service | $524.81 | $741.31 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $208.93 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $223.87 Typical High $229.09 | Professional | 55 · Aftercare only | $158.49 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $147.91 Typical High $151.36 | Professional | 56 · Pre-op care only | $104.71 | $147.91 | $151.36 |
Where Kansas sits
The same service costs 3.2 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
$1,349
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.