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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,951.21 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,951.21 | $3,019.95 |
Ambetter 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 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,235.94 | $3,388.44 | $3,388.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,584.89 | $1,584.89 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $18,197.01 | Facility | None | $2,089.30 | $3,388.44 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $19,498.45 | Professional | None | $1,698.24 | $2,570.40 | $19,498.45 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,949.84 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $2,630.27 | Professional | None | $1,318.26 | $1,995.26 | $2,630.27 |
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 $1,047.13 Median $1,479.11 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,047.13 | $1,479.11 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $588.84 Typical High $602.56 | Professional | 53 · Discontinued | $416.87 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $316.23 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $295.12 Typical High $302.00 | Professional | 56 · Pre-op care only | $208.93 | $295.12 | $302.00 |
Where Kansas sits
The same service costs 2.6 times more in Wisconsin 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· 13th of 51
$3,236
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.