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 $776.25 Median $831.76 Typical High $954.99 | Facility | None | $776.25 | $831.76 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $954.99 | Professional | None | $776.25 | $831.76 | $954.99 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,479.11 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $1,479.11 | Facility | None | $831.76 | $933.25 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,311.31 Typical High $3,311.31 | Facility | None | $831.76 | $3,311.31 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,513.56 | Professional | None | $794.33 | $794.33 | $1,513.56 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | None | $794.33 | $794.33 | $1,348.96 |
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 $416.87 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $125.89 Typical High $144.54 | Professional | 55 · Aftercare only | $114.82 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $83.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $83.18 | $95.50 |
Where Kansas sits
The same service costs 2.6 times more in Alabama than in Florida. 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· 6th of 51
$1,380
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.