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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $2,344.23 | Professional | None | $1,621.81 | $2,290.87 | $2,344.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,137.96 | $2,187.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $14,791.08 | Facility | None | $1,621.81 | $2,630.27 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $18,197.01 | Professional | None | $1,318.26 | $2,089.30 | $18,197.01 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,230.27 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,548.82 | $2,137.96 |
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 $812.83 Median $1,148.15 Typical High $1,174.90 | Professional | 52 · Reduced service | $812.83 | $1,148.15 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $323.59 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $346.74 Typical High $354.81 | Professional | 55 · Aftercare only | $245.47 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $229.09 Typical High $234.42 | Professional | 56 · Pre-op care only | $162.18 | $229.09 | $234.42 |
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· 17th 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.