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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,288.25 | Professional | None | $891.25 | $1,258.93 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,621.81 | $1,698.24 | $1,698.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,445.44 Typical High $8,511.38 | Facility | None | $891.25 | $1,445.44 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,148.15 Typical High $10,964.78 | Professional | None | $724.44 | $1,148.15 | $10,964.78 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,238.72 | Facility | None | $645.65 | $831.76 | $2,238.72 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,230.27 | Professional | None | $575.44 | $851.14 | $1,230.27 |
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 $446.68 Median $630.96 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $251.19 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $190.55 Typical High $194.98 | Professional | 55 · Aftercare only | $134.90 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $125.89 Typical High $128.82 | Professional | 56 · Pre-op care only | $89.13 | $125.89 | $128.82 |
Where Kansas sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 9th of 51
$1,622
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.