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 $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $363.08 | Professional | None | $229.09 | $331.13 | $363.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $295.12 | Facility | None | $275.42 | $288.40 | $295.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $2,187.76 | Facility | None | $229.09 | $346.74 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $2,570.40 | Professional | None | $162.18 | $239.88 | $2,570.40 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $562.34 | Facility | None | $245.47 | $269.15 | $562.34 |
United Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $281.84 | Professional | None | $141.25 | $208.93 | $281.84 |
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 $114.82 Median $165.96 Typical High $181.97 | Professional | 52 · Reduced service | $114.82 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $66.07 Typical High $72.44 | Professional | 53 · Discontinued | $46.77 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $50.12 Typical High $53.70 | Professional | 55 · Aftercare only | $34.67 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $33.11 Typical High $36.31 | Professional | 56 · Pre-op care only | $22.91 | $33.11 | $36.31 |
Where Kansas sits
The same service costs 2.6 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· 20th of 51
$316
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.