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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,548.82 | $1,584.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,348.96 | $1,412.54 | $1,412.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $9,332.54 | Facility | None | $1,096.48 | $1,778.28 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $11,481.54 | Professional | None | $870.96 | $1,288.25 | $11,481.54 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,344.23 | Facility | None | $977.24 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,348.96 | Professional | None | $707.95 | $1,047.13 | $1,348.96 |
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 $549.54 Median $776.25 Typical High $794.33 | Professional | 52 · Reduced service | $549.54 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $309.03 Typical High $316.23 | Professional | 53 · Discontinued | $218.78 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $165.96 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $154.88 Typical High $158.49 | Professional | 56 · Pre-op care only | $109.65 | $154.88 | $158.49 |
Where Kansas sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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
$1,413
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.