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 $758.58 Median $1,819.70 Typical High $1,819.70 | Facility | None | $758.58 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,819.70 | Professional | None | $562.34 | $776.25 | $1,819.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $812.83 Median $851.14 Typical High $851.14 | Facility | None | $812.83 | $851.14 | $851.14 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,659.59 Typical High $2,187.76 | Facility | None | $575.44 | $1,659.59 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $1,819.70 | Facility | None | $537.03 | $1,819.70 | $1,819.70 |
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,445.44 | Professional | None | $660.69 | $660.69 | $1,445.44 |
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 $281.84 Median $380.19 Typical High $891.25 | Professional | 52 · Reduced service | $281.84 | $380.19 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $154.88 Typical High $363.08 | Professional | 53 · Discontinued | $112.20 | $154.88 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $114.82 Typical High $269.15 | Professional | 55 · Aftercare only | $85.11 | $114.82 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $77.62 Typical High $181.97 | Professional | 56 · Pre-op care only | $56.23 | $77.62 | $181.97 |
Where Kansas sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 7th of 51
$813
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.