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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $309.03 | Professional | None | $199.53 | $288.40 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $309.03 Median $323.59 Typical High $331.13 | Facility | None | $309.03 | $323.59 | $331.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None | $165.96 | $165.96 | $223.87 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $1,548.82 | Facility | None | $194.98 | $302.00 | $1,548.82 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $2,089.30 | Professional | None | $120.23 | $190.55 | $2,089.30 |
United Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $389.05 | Facility | None | $190.55 | $208.93 | $389.05 |
United Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $229.09 | Professional | None | $109.65 | $181.97 | $229.09 |
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 $100.00 Median $144.54 Typical High $154.88 | Professional | 52 · Reduced service | $100.00 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $57.54 Typical High $61.66 | Professional | 53 · Discontinued | $39.81 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $42.66 Typical High $46.77 | Professional | 55 · Aftercare only | $30.20 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $28.84 Typical High $30.90 | Professional | 56 · Pre-op care only | $19.95 | $28.84 | $30.90 |
Where Kansas sits
The same service costs 3.4 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· 6th of 51
$309
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.