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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $912.01 | Professional | None | $588.84 | $831.76 | $912.01 |
BCBS Kansas Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $891.25 | Facility | None | $831.76 | $870.96 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $5,495.41 | Facility | None | $575.44 | $870.96 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $6,606.93 | Professional | None | $398.11 | $602.56 | $6,606.93 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,412.54 | Facility | None | $645.65 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $707.95 | Professional | None | $354.81 | $524.81 | $707.95 |
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 $295.12 Median $416.87 Typical High $457.09 | Professional | 52 · Reduced service | $295.12 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $165.96 Typical High $181.97 | Professional | 53 · Discontinued | $117.49 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $125.89 Typical High $138.04 | Professional | 55 · Aftercare only | $87.10 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $83.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $58.88 | $83.18 | $91.20 |
Where Kansas sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 16th of 51
$891
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.