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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $169.82 | Professional | None | $107.15 | $154.88 | $169.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $141.25 Median $147.91 Typical High $151.36 | Facility | None | $141.25 | $147.91 | $151.36 |
BCBS Kansas Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $933.25 | Facility | None | $107.15 | $162.18 | $933.25 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $1,174.90 | Professional | None | $67.61 | $112.20 | $1,174.90 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $239.88 | Facility | None | $87.10 | $100.00 | $239.88 |
United Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $128.82 | Professional | None | $64.57 | $97.72 | $128.82 |
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 $53.70 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $53.70 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $21.38 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $23.44 Typical High $25.12 | Professional | 55 · Aftercare only | $16.22 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $15.49 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.72 | $15.49 | $16.98 |
Where Kansas sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 16th of 51
$151
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.