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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,949.84 | $2,818.38 | $2,818.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,090.30 | Facility | None | $2,884.03 | $3,019.95 | $3,090.30 |
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 $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 $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,162.28 Typical High $17,782.79 | Facility | None | $1,995.26 | $3,162.28 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $19,054.61 | Professional | None | $1,621.81 | $2,511.89 | $19,054.61 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,890.45 | $3,890.45 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,258.93 | $1,905.46 | $2,570.40 |
2 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 55 · Aftercare only Typical Low $295.12 Median $416.87 Typical High $426.58 | Professional | 55 · Aftercare only | $295.12 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $194.98 | $281.84 | $281.84 |
Where Kansas sits
The same service costs 2.3 times more in Montana 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· 16th of 51
$3,020
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.