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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,202.26 | $1,698.24 | $1,737.80 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,344.23 | $2,454.71 | $2,454.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $11,748.98 | Facility | None | $1,202.26 | $1,949.84 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $12,882.50 | Professional | None | $977.24 | $1,548.82 | $12,882.50 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $3,090.30 | Facility | None | $977.24 | $1,148.15 | $3,090.30 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,698.24 | Professional | None | $758.58 | $1,148.15 | $1,698.24 |
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 $602.56 Median $851.14 Typical High $870.96 | Professional | 52 · Reduced service | $602.56 | $851.14 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $338.84 Typical High $346.74 | Professional | 53 · Discontinued | $239.88 | $338.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $177.83 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $169.82 Typical High $173.78 | Professional | 56 · Pre-op care only | $120.23 | $169.82 | $173.78 |
Where Kansas sits
The same service costs 2.1 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· 7th of 51
$2,344
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.