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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $5,248.07 Typical High $5,248.07 | Professional | None | $3,630.78 | $5,248.07 | $5,248.07 |
BCBS Kansas Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $35,481.34 | Facility | None | $3,715.35 | $5,888.44 | $35,481.34 |
Medica Setting Professional Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $46,773.51 | Professional | None | $2,951.21 | $4,677.35 | $46,773.51 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $9,549.93 | Facility | None | $2,884.03 | $3,548.13 | $9,549.93 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $5,370.32 | Professional | None | $2,344.23 | $3,548.13 | $5,370.32 |
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 $1,819.70 Median $2,630.27 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,819.70 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $1,047.13 Typical High $1,047.13 | Professional | 53 · Discontinued | $724.44 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $776.25 Typical High $794.33 | Professional | 55 · Aftercare only | $549.54 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $524.81 Typical High $524.81 | Professional | 56 · Pre-op care only | $363.08 | $524.81 | $524.81 |
Where Kansas sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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
$5,623
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.