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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $891.25 | Professional | None | $562.34 | $812.83 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $954.99 Median $977.24 Typical High $1,000.00 | Facility | None | $954.99 | $977.24 | $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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $5,495.41 | Facility | None | $562.34 | $851.14 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $6,918.31 | Professional | None | $398.11 | $588.84 | $6,918.31 |
United Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $691.83 | Professional | None | $338.84 | $512.86 | $691.83 |
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 $281.84 Median $407.38 Typical High $446.68 | Professional | 52 · Reduced service | $281.84 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $162.18 Typical High $177.83 | Professional | 53 · Discontinued | $112.20 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $123.03 Typical High $131.83 | Professional | 55 · Aftercare only | $85.11 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $81.28 Typical High $89.13 | Professional | 56 · Pre-op care only | $56.23 | $81.28 | $89.13 |
Where Kansas sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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· 10th 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.