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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,995.26 | $2,041.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,137.96 | $2,238.72 | $2,238.72 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $11,481.54 | Facility | None | $1,412.54 | $2,290.87 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,621.81 Typical High $13,803.84 | Professional | None | $1,071.52 | $1,621.81 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,951.21 | Facility | None | $1,258.93 | $1,445.44 | $2,951.21 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,737.80 | Professional | None | $891.25 | $1,348.96 | $1,737.80 |
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 $707.95 Median $1,000.00 Typical High $1,023.29 | Professional | 52 · Reduced service | $707.95 | $1,000.00 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $398.11 Typical High $407.38 | Professional | 53 · Discontinued | $281.84 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $213.80 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $199.53 Typical High $204.17 | Professional | 56 · Pre-op care only | $141.25 | $199.53 | $204.17 |
Where Kansas sits
The same service costs 2.7 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· 13th of 51
$2,188
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.