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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,621.81 | $1,659.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,187.76 | Facility | None | $2,089.30 | $2,137.96 | $2,187.76 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
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 $1,148.15 Median $1,862.09 Typical High $10,232.93 | Facility | None | $1,148.15 | $1,862.09 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $12,882.50 | Professional | None | $933.25 | $1,445.44 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,630.27 | Facility | None | $1,071.52 | $1,202.26 | $2,630.27 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,096.48 Typical High $1,479.11 | Professional | None | $741.31 | $1,096.48 | $1,479.11 |
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 $575.44 Median $812.83 Typical High $831.76 | Professional | 52 · Reduced service | $575.44 | $812.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $229.09 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $245.47 Typical High $251.19 | Professional | 55 · Aftercare only | $173.78 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $162.18 Typical High $165.96 | Professional | 56 · Pre-op care only | $114.82 | $162.18 | $165.96 |
Where Kansas sits
The same service costs 3.1 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· 8th of 51
$2,089
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.