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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,949.84 | $1,949.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,089.30 | $2,137.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $11,481.54 | Facility | None | $1,380.38 | $2,187.76 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $13,182.57 | Professional | None | $1,096.48 | $1,737.80 | $13,182.57 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,819.70 | Professional | None | $870.96 | $1,288.25 | $1,819.70 |
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 $676.08 Median $954.99 Typical High $977.24 | Professional | 52 · Reduced service | $676.08 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $269.15 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $288.40 Typical High $295.12 | Professional | 55 · Aftercare only | $204.17 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $134.90 | $194.98 | $194.98 |
Where Kansas sits
The same service costs 2.6 times more in Montana than in New York. 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· 13th of 51
$2,089
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.