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 $87.10 Median $3,630.78 Typical High $8,912.51 | Facility | None | $87.10 | $3,630.78 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $162.18 Typical High $323.59 | Professional | None | $50.12 | $162.18 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $257.04 | Professional | None | $60.26 | $60.26 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $213.80 Typical High $338.84 | Professional | None | $50.12 | $213.80 | $338.84 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $338.84 Typical High $1,288.25 | Facility | None | $54.95 | $338.84 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $776.25 Typical High $2,089.30 | Professional | None | $223.87 | $776.25 | $2,089.30 |
United Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $1,905.46 | Facility | None | $389.05 | $851.14 | $1,905.46 |
United Setting Professional Modifier None Typical Low $47.86 Median $186.21 Typical High $295.12 | Professional | None | $47.86 | $186.21 | $295.12 |
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 $25.12 Median $39.81 Typical High $162.18 | Professional | 52 · Reduced service | $25.12 | $39.81 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $15.85 Typical High $64.57 | Professional | 53 · Discontinued | $10.00 | $15.85 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $11.75 Typical High $48.98 | Professional | 55 · Aftercare only | $7.59 | $11.75 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $7.94 Typical High $32.36 | Professional | 56 · Pre-op care only | $5.01 | $7.94 | $32.36 |
Where Kansas sits
The same service costs 5.2 times more in North Carolina than in Hawaii. 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· 5th of 51
$257
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.