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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,174.90 | $1,698.24 | $1,698.24 |
Ambetter Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,548.82 | $1,737.80 | $1,737.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,479.11 | $1,513.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $12,022.64 | Facility | None | $1,202.26 | $1,905.46 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,513.56 Typical High $14,454.40 | Professional | None | $977.24 | $1,513.56 | $14,454.40 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $3,090.30 | Facility | None | $870.96 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,737.80 | Professional | None | $758.58 | $1,148.15 | $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 $588.84 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $588.84 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $338.84 Typical High $346.74 | Professional | 53 · Discontinued | $239.88 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $251.19 Typical High $257.04 | Professional | 55 · Aftercare only | $177.83 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $117.49 | $169.82 | $169.82 |
Where Kansas sits
The same service costs 2.3 times more in Wisconsin 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· 24th of 51
$1,698
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.