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 $363.08 Median $371.54 Typical High $436.52 | Facility | None | $363.08 | $371.54 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $436.52 | Professional | None | $316.23 | $371.54 | $436.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $363.08 Typical High $363.08 | Facility | None | $346.74 | $363.08 | $363.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,096.48 Typical High $1,258.93 | Facility | None | $323.59 | $1,096.48 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $389.05 | Facility | None | $288.40 | $323.59 | $389.05 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | None | $309.03 | $309.03 | $354.81 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None | $309.03 | $309.03 | $363.08 |
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 $158.49 Median $186.21 Typical High $218.78 | Professional | 52 · Reduced service | $158.49 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 53 · Discontinued | $64.57 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $37.15 Typical High $43.65 | Professional | 56 · Pre-op care only | $31.62 | $37.15 | $43.65 |
Where Kansas sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 9th of 51
$347
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.