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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,862.09 | $1,862.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,691.53 | $2,818.38 | $2,818.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $12,022.64 | Facility | None | $1,318.26 | $2,089.30 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $16,982.44 | Professional | None | $1,047.13 | $1,659.59 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,737.80 | Professional | None | $831.76 | $1,230.27 | $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 $645.65 Median $912.01 Typical High $933.25 | Professional | 52 · Reduced service | $645.65 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $257.04 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $275.42 Typical High $281.84 | Professional | 55 · Aftercare only | $194.98 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $128.82 | $186.21 | $186.21 |
Where Kansas sits
The same service costs 3.5 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· 3rd of 51
$2,692
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.