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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,584.89 | $2,290.87 | $2,290.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,570.40 Median $2,630.27 Typical High $2,691.53 | Facility | None | $2,570.40 | $2,630.27 | $2,691.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $13,182.57 | Facility | None | $1,584.89 | $2,570.40 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $15,848.93 | Professional | None | $1,230.27 | $1,862.09 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,311.31 | Facility | None | $1,445.44 | $1,621.81 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,513.56 | $1,949.84 |
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 $794.33 Median $1,122.02 Typical High $1,148.15 | Professional | 52 · Reduced service | $794.33 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $316.23 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $338.84 Typical High $346.74 | Professional | 55 · Aftercare only | $239.88 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $158.49 | $229.09 | $229.09 |
Where Kansas sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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· 6th 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.