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 $457.09 Median $467.74 Typical High $524.81 | Facility | None | $457.09 | $467.74 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $524.81 | Professional | None | $389.05 | $467.74 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $478.63 Median $501.19 Typical High $501.19 | Facility | None | $478.63 | $501.19 | $501.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,659.59 Typical High $1,905.46 | Facility | None | $489.78 | $1,659.59 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None | $389.05 | $389.05 | $501.19 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $524.81 | Facility | None | $398.11 | $467.74 | $524.81 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $398.11 Typical High $446.68 | Professional | None | $158.49 | $398.11 | $446.68 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $436.52 | Professional | None | $154.88 | $389.05 | $436.52 |
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 $194.98 Median $234.42 Typical High $263.03 | Professional | 52 · Reduced service | $194.98 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $77.62 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | 55 · Aftercare only | $58.88 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $46.77 Typical High $52.48 | Professional | 56 · Pre-op care only | $38.90 | $46.77 | $52.48 |
Where Kansas sits
The same service costs 1.7 times more in Alaska than in Oklahoma. 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· 13th of 51
$407
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.