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 $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $758.58 | Professional | None | $489.78 | $691.83 | $758.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,202.26 | $1,202.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $3,890.45 | Facility | None | $562.34 | $831.76 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $6,456.54 | Professional | None | $489.78 | $851.14 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,445.44 | Facility | None | $1,230.27 | $1,230.27 | $1,445.44 |
United Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $954.99 | Professional | None | $416.87 | $707.95 | $954.99 |
5 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 $239.88 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $239.88 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $138.04 Typical High $151.36 | Professional | 53 · Discontinued | $97.72 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $72.44 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $48.98 | $69.18 | $75.86 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
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· 4th of 51
$1,148
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.