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 $23.99 Median $31.62 Typical High $1,071.52 | Facility | None | $23.99 | $31.62 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $794.33 Typical High $1,071.52 | Professional | None | $25.12 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $15.85 | $524.81 | $549.54 |
Ambetter Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,819.70 | $1,819.70 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $1,548.82 | Professional | None | $33.88 | $39.81 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $177.83 Typical High $1,698.24 | Facility | None | $33.11 | $177.83 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $1,148.15 Typical High $7,244.36 | Professional | None | $223.87 | $1,148.15 | $7,244.36 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,019.95 | Facility | None | $1,905.46 | $1,905.46 | $3,019.95 |
United Setting Professional Modifier None Typical Low $25.70 Median $870.96 Typical High $1,348.96 | Professional | None | $25.70 | $870.96 | $1,348.96 |
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 53 · Discontinued Typical Low $6.61 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $6.61 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $112.20 |
Where Kansas sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 32nd of 51
$912
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.