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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $3,715.35 | Professional | None | $2,570.40 | $3,630.78 | $3,715.35 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $4,073.80 | Facility | None | $3,890.45 | $4,073.80 | $4,073.80 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $21,379.62 | Facility | None | $2,570.40 | $4,168.69 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $23,988.33 | Professional | None | $2,041.74 | $3,090.30 | $23,988.33 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $5,495.41 | Facility | None | $2,398.83 | $2,398.83 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,659.59 | $2,454.71 | $3,162.28 |
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 $1,288.25 Median $1,819.70 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,288.25 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $724.44 Typical High $741.31 | Professional | 53 · Discontinued | $512.86 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $389.05 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $363.08 Typical High $371.54 | Professional | 56 · Pre-op care only | $257.04 | $363.08 | $371.54 |
Where Kansas sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 12th of 51
$3,981
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.