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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $5,128.61 Typical High $5,248.07 | Professional | None | $3,630.78 | $5,128.61 | $5,248.07 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,079.46 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,079.46 | $7,413.10 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,413.10 | $7,413.10 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $3,630.78 Median $5,754.40 Typical High $27,542.29 | Facility | None | $3,630.78 | $5,754.40 | $27,542.29 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $34,673.69 | Professional | None | $2,630.27 | $3,981.07 | $34,673.69 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $7,079.46 | Facility | None | $3,467.37 | $3,467.37 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $4,365.16 | Professional | None | $2,187.76 | $3,467.37 | $4,365.16 |
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 $1,819.70 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,819.70 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $1,023.29 Typical High $1,047.13 | Professional | 53 · Discontinued | $724.44 | $1,023.29 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $776.25 Typical High $776.25 | Professional | 55 · Aftercare only | $537.03 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $512.86 Typical High $524.81 | Professional | 56 · Pre-op care only | $363.08 | $512.86 | $524.81 |
Where Kansas sits
The same service costs 2.9 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· 3rd of 51
$7,079
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.