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 $354.81 Median $446.68 Typical High $575.44 | Facility | None | $354.81 | $446.68 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $575.44 | Professional | None | $331.13 | $407.38 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $588.84 | Facility | None | $562.34 | $588.84 | $588.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $977.24 Typical High $1,288.25 | Facility | None | $371.54 | $977.24 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $501.19 Typical High $501.19 | Professional | None | $208.93 | $501.19 | $501.19 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $457.09 | Facility | None | $309.03 | $457.09 | $457.09 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $478.63 | Professional | None | $363.08 | $398.11 | $478.63 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $537.03 | Professional | None | $338.84 | $371.54 | $537.03 |
3 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 $165.96 Median $204.17 Typical High $288.40 | Professional | 52 · Reduced service | $165.96 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $85.11 | Professional | 55 · Aftercare only | $50.12 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $40.74 Typical High $57.54 | Professional | 56 · Pre-op care only | $33.11 | $40.74 | $57.54 |
Where Kansas sits
The same service costs 3.5 times more in Minnesota than in Alabama. 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· 3rd of 51
$537
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.