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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $660.69 | Professional | None | $416.87 | $602.56 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,000.00 | Facility | None | $954.99 | $1,000.00 | $1,000.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $3,388.44 | Facility | None | $478.63 | $724.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $5,128.61 | Professional | None | $436.52 | $724.44 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,230.27 | Facility | None | $1,047.13 | $1,047.13 | $1,230.27 |
United Setting Professional Modifier None Typical Low $371.54 Median $616.60 Typical High $812.83 | Professional | None | $371.54 | $616.60 | $812.83 |
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 $208.93 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $208.93 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $83.18 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $91.20 Typical High $97.72 | Professional | 55 · Aftercare only | $63.10 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $60.26 Typical High $66.07 | Professional | 56 · Pre-op care only | $41.69 | $60.26 | $66.07 |
Where Kansas sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 5th of 51
$955
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.