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 $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $5,128.61 Median $7,413.10 Typical High $7,413.10 | Professional | None | $5,128.61 | $7,413.10 | $7,413.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $5,248.07 Median $8,317.64 Typical High $47,863.01 | Facility | None | $5,248.07 | $8,317.64 | $47,863.01 |
Medica Setting Professional Modifier None Typical Low $4,168.69 Median $6,606.93 Typical High $52,480.75 | Professional | None | $4,168.69 | $6,606.93 | $52,480.75 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $12,589.25 | Facility | None | $4,365.16 | $5,128.61 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $4,897.79 Typical High $7,079.46 | Professional | None | $3,311.31 | $4,897.79 | $7,079.46 |
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 $2,570.40 Median $3,630.78 Typical High $3,715.35 | Professional | 52 · Reduced service | $2,570.40 | $3,630.78 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,023.29 Median $1,479.11 Typical High $1,479.11 | Professional | 53 · Discontinued | $1,023.29 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $776.25 Median $1,096.48 Typical High $1,122.02 | Professional | 55 · Aftercare only | $776.25 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $512.86 Median $741.31 Typical High $741.31 | Professional | 56 · Pre-op care only | $512.86 | $741.31 | $741.31 |
Where Kansas sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 18th of 51
$7,586
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.