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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $2,511.89 | Professional | None | $1,737.80 | $2,454.71 | $2,511.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,570.40 | $2,691.53 | $2,691.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $13,489.63 | Facility | None | $1,737.80 | $2,754.23 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $15,848.93 | Professional | None | $1,230.27 | $1,905.46 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $3,388.44 | Facility | None | $1,479.11 | $1,698.24 | $3,388.44 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,659.59 | $2,089.30 |
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 $870.96 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $870.96 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $489.78 Typical High $501.19 | Professional | 53 · Discontinued | $346.74 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $257.04 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $245.47 Typical High $251.19 | Professional | 56 · Pre-op care only | $173.78 | $245.47 | $251.19 |
Where Kansas sits
The same service costs 3.0 times more in Iowa 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· 12th of 51
$2,630
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.