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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,344.23 | $3,311.31 | $3,311.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $3,715.35 | Facility | None | $3,467.37 | $3,630.78 | $3,715.35 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $20,892.96 | Facility | None | $2,344.23 | $3,715.35 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $22,387.21 | Professional | None | $1,905.46 | $2,951.21 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $5,495.41 | Facility | None | $2,187.76 | $2,187.76 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,479.11 | $2,238.72 | $3,090.30 |
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 $1,148.15 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,148.15 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $660.69 Typical High $676.08 | Professional | 53 · Discontinued | $467.74 | $660.69 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $489.78 Typical High $501.19 | Professional | 55 · Aftercare only | $346.74 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $234.42 | $331.13 | $331.13 |
Where Kansas sits
The same service costs 2.6 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· 15th of 51
$3,631
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.