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 $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,570.40 | $2,630.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $16,982.44 | Facility | None | $1,819.70 | $2,884.03 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $22,387.21 | Professional | None | $1,479.11 | $2,344.23 | $22,387.21 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,737.80 | $2,570.40 |
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 $912.01 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $912.01 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $512.86 Typical High $524.81 | Professional | 53 · Discontinued | $363.08 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $269.15 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $257.04 Typical High $263.03 | Professional | 56 · Pre-op care only | $181.97 | $257.04 | $263.03 |
Where Kansas sits
The same service costs 2.2 times more in Arkansas 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
$2,818
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.