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 $616.60 Median $1,202.26 Typical High $1,202.26 | Facility | None | $616.60 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,202.26 | Professional | None | $537.03 | $724.44 | $1,202.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $660.69 Median $691.83 Typical High $691.83 | Facility | None | $660.69 | $691.83 | $691.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,548.82 Typical High $2,089.30 | Facility | None | $537.03 | $1,548.82 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,202.26 Typical High $1,202.26 | Facility | None | $524.81 | $1,202.26 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $891.25 | Professional | None | $524.81 | $524.81 | $891.25 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,096.48 | Professional | None | $524.81 | $524.81 | $1,096.48 |
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 $269.15 Median $363.08 Typical High $602.56 | Professional | 52 · Reduced service | $269.15 | $363.08 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $144.54 Typical High $239.88 | Professional | 53 · Discontinued | $107.15 | $144.54 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $109.65 Typical High $177.83 | Professional | 55 · Aftercare only | $79.43 | $109.65 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $72.44 Typical High $120.23 | Professional | 56 · Pre-op care only | $53.70 | $72.44 | $120.23 |
Where Kansas sits
The same service costs 5.0 times more in Wyoming than in Alabama. 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
$661
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.