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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,511.89 Typical High $2,570.40 | Professional | None | $1,778.28 | $2,511.89 | $2,570.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $2,818.38 | Facility | None | $2,630.27 | $2,754.23 | $2,818.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $2,884.03 Typical High $15,135.61 | Facility | None | $1,778.28 | $2,884.03 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $17,782.79 | Professional | None | $1,412.54 | $2,137.96 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,621.81 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,698.24 | $2,187.76 |
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 $891.25 Median $1,258.93 Typical High $1,288.25 | Professional | 52 · Reduced service | $891.25 | $1,258.93 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $501.19 Typical High $512.86 | Professional | 53 · Discontinued | $354.81 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $263.03 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $251.19 Typical High $257.04 | Professional | 56 · Pre-op care only | $177.83 | $251.19 | $257.04 |
Where Kansas sits
The same service costs 3.2 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· 14th of 51
$2,754
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.