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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $812.83 | Professional | None | $524.81 | $741.31 | $812.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $245.47 Median $257.04 Typical High $257.04 | Facility | None | $245.47 | $257.04 | $257.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $776.25 Typical High $4,677.35 | Facility | None | $512.86 | $776.25 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $5,248.07 | Professional | None | $338.84 | $537.03 | $5,248.07 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,202.26 | Facility | None | $549.54 | $660.69 | $1,202.26 |
United Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $630.96 | Professional | None | $316.23 | $467.74 | $630.96 |
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 $257.04 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $257.04 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $147.91 Typical High $162.18 | Professional | 53 · Discontinued | $104.71 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $112.20 Typical High $123.03 | Professional | 55 · Aftercare only | $77.62 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $52.48 | $74.13 | $81.28 |
Where Kansas sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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· 51st of 51
$339
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.