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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $512.86 | Professional | None | $323.59 | $467.74 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
BCBS Kansas Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $2,951.21 | Facility | None | $323.59 | $489.78 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $3,548.13 | Professional | None | $213.80 | $331.13 | $3,548.13 |
United Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $758.58 | Facility | None | $363.08 | $371.54 | $758.58 |
United Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $398.11 | Professional | None | $194.98 | $295.12 | $398.11 |
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 $162.18 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $64.57 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $70.79 Typical High $75.86 | Professional | 55 · Aftercare only | $48.98 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $32.36 | $46.77 | $51.29 |
Where Kansas sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 18th of 51
$479
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.