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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $2,511.89 | Professional | None | $1,737.80 | $2,454.71 | $2,511.89 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,511.89 | $2,570.40 | $2,630.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $16,982.44 | Facility | None | $1,737.80 | $2,818.38 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $19,054.61 | Professional | None | $1,412.54 | $2,238.72 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,698.24 | $1,949.84 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,659.59 | $2,398.83 |
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 $870.96 Median $1,230.27 Typical High $1,258.93 | Professional | 52 · Reduced service | $870.96 | $1,230.27 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $489.78 Typical High $501.19 | Professional | 53 · Discontinued | $346.74 | $489.78 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $371.54 Typical High $380.19 | Professional | 55 · Aftercare only | $263.03 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $245.47 Typical High $251.19 | Professional | 56 · Pre-op care only | $173.78 | $245.47 | $251.19 |
Where Kansas sits
The same service costs 2.4 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· 17th of 51
$2,570
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.