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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $7,585.78 Typical High $7,585.78 | Professional | None | $5,370.32 | $7,585.78 | $7,585.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,317.64 | Facility | None | $7,762.47 | $8,128.31 | $8,317.64 |
BCBS Kansas Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None | $4,897.79 | $4,897.79 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $5,370.32 Median $8,511.38 Typical High $47,863.01 | Facility | None | $5,370.32 | $8,511.38 | $47,863.01 |
Medica Setting Professional Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $51,286.14 | Professional | None | $4,365.16 | $6,760.83 | $51,286.14 |
United Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $12,589.25 | Facility | None | $10,715.19 | $10,715.19 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,388.44 Median $5,128.61 Typical High $7,079.46 | Professional | None | $3,388.44 | $5,128.61 | $7,079.46 |
2 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 55 · Aftercare only Typical Low $794.33 Median $1,148.15 Typical High $1,148.15 | Professional | 55 · Aftercare only | $794.33 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $758.58 Typical High $758.58 | Professional | 56 · Pre-op care only | $537.03 | $758.58 | $758.58 |
Where Kansas sits
The same service costs 2.3 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· 16th of 51
$8,128
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.