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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,174.90 | Professional | None | $812.83 | $1,174.90 | $1,174.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,230.27 | $1,258.93 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $7,413.10 | Facility | None | $831.76 | $1,318.26 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $7,943.28 | Professional | None | $676.08 | $1,047.13 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,949.84 | Facility | None | $1,621.81 | $1,621.81 | $1,949.84 |
United Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,096.48 | Professional | None | $524.81 | $794.33 | $1,096.48 |
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 $407.38 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $407.38 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $165.96 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $173.78 Typical High $177.83 | Professional | 55 · Aftercare only | $123.03 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $81.28 | $117.49 | $117.49 |
Where Kansas sits
The same service costs 2.6 times more in Montana 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· 14th of 51
$1,230
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.