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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,380.38 | Professional | None | $954.99 | $1,348.96 | $1,380.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,071.52 | $1,122.02 | $1,122.02 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $7,079.46 | Facility | None | $954.99 | $1,548.82 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $9,332.54 | Professional | None | $691.83 | $1,047.13 | $9,332.54 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,862.09 | Facility | None | $912.01 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,148.15 | Professional | None | $575.44 | $912.01 | $1,148.15 |
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 $478.63 Median $676.08 Typical High $691.83 | Professional | 52 · Reduced service | $478.63 | $676.08 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $269.15 Typical High $275.42 | Professional | 53 · Discontinued | $190.55 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $144.54 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $134.90 Typical High $138.04 | Professional | 56 · Pre-op care only | $95.50 | $134.90 | $138.04 |
Where Kansas sits
The same service costs 3.1 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· 11th 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.