How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,584.89 Median $1,584.89 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,659.59 | Professional | None | $758.58 | $954.99 | $1,659.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,318.26 | Professional | None | $676.08 | $1,096.48 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,737.80 | Facility | None | $758.58 | $891.25 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $2,290.87 Typical High $5,370.32 | Professional | None | $758.58 | $2,290.87 | $5,370.32 |
United Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,122.02 | Professional | None | $676.08 | $812.83 | $1,122.02 |
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 $380.19 Median $478.63 Typical High $831.76 | Professional | 52 · Reduced service | $380.19 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $190.55 Typical High $331.13 | Professional | 53 · Discontinued | $151.36 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $144.54 Typical High $245.47 | Professional | 55 · Aftercare only | $114.82 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $95.50 Typical High $165.96 | Professional | 56 · Pre-op care only | $75.86 | $95.50 | $165.96 |
Where Kansas sits
The same service costs 3.2 times more in Alaska 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· 18th of 51
$933
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.