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 $1,023.29 Median $1,023.29 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,071.52 | Professional | None | $489.78 | $630.96 | $1,071.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $851.14 | Professional | None | $457.09 | $676.08 | $851.14 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,122.02 | Facility | None | $489.78 | $602.56 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,548.82 Typical High $3,630.78 | Professional | None | $512.86 | $1,548.82 | $3,630.78 |
United Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $758.58 | Professional | None | $457.09 | $549.54 | $758.58 |
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 $245.47 Median $309.03 Typical High $537.03 | Professional | 52 · Reduced service | $245.47 | $309.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $125.89 Typical High $213.80 | Professional | 53 · Discontinued | $97.72 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $93.33 Typical High $162.18 | Professional | 55 · Aftercare only | $74.13 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $63.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $48.98 | $63.10 | $107.15 |
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· 17th of 51
$617
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.