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 $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $9,332.54 Median $13,489.63 Typical High $13,489.63 | Professional | None | $9,332.54 | $13,489.63 | $13,489.63 |
BCBS Kansas Setting Professional Modifier None Typical Low $21,877.62 Median $21,877.62 Typical High $21,877.62 | Professional | None | $21,877.62 | $21,877.62 | $21,877.62 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $9,549.93 Median $15,135.61 Typical High $91,201.08 | Facility | None | $9,549.93 | $15,135.61 | $91,201.08 |
Medica Setting Professional Modifier None Typical Low $7,762.47 Median $12,022.64 Typical High $114,815.36 | Professional | None | $7,762.47 | $12,022.64 | $114,815.36 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $23,988.33 | Facility | None | $7,943.28 | $9,332.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $6,025.60 Median $9,120.11 Typical High $13,182.57 | Professional | None | $6,025.60 | $9,120.11 | $13,182.57 |
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 $4,677.35 Median $6,760.83 Typical High $6,760.83 | Professional | 52 · Reduced service | $4,677.35 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,905.46 Median $2,691.53 Typical High $2,691.53 | Professional | 53 · Discontinued | $1,905.46 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,412.54 Median $1,995.26 Typical High $2,041.74 | Professional | 55 · Aftercare only | $1,412.54 | $1,995.26 | $2,041.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $933.25 Median $1,348.96 Typical High $1,348.96 | Professional | 56 · Pre-op care only | $933.25 | $1,348.96 | $1,348.96 |
Where Kansas sits
The same service costs 2.5 times more in Montana than in Florida. 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· 17th of 51
$14,454
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.