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 $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $3,630.78 | Professional | None | $2,511.89 | $3,548.13 | $3,630.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,168.69 | $4,365.16 | $4,365.16 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $25,703.96 | Facility | None | $2,511.89 | $4,073.80 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $44,668.36 | Professional | None | $2,041.74 | $3,235.94 | $44,668.36 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,365.16 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,621.81 | $2,398.83 | $3,715.35 |
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 $1,258.93 Median $1,778.28 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,258.93 | $1,778.28 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $707.95 Typical High $724.44 | Professional | 53 · Discontinued | $501.19 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $537.03 Typical High $549.54 | Professional | 55 · Aftercare only | $380.19 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $354.81 Typical High $363.08 | Professional | 56 · Pre-op care only | $251.19 | $354.81 | $363.08 |
Where Kansas sits
The same service costs 4.3 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· 16th of 51
$4,169
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.