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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,071.52 | Professional | None | $691.83 | $1,000.00 | $1,071.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,047.13 | $1,096.48 | $1,096.48 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $6,606.93 | Facility | None | $676.08 | $1,047.13 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $8,128.31 | Professional | None | $478.63 | $724.44 | $8,128.31 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,698.24 | Facility | None | $630.96 | $794.33 | $1,698.24 |
United Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $794.33 | Professional | None | $416.87 | $630.96 | $794.33 |
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 $346.74 Median $501.19 Typical High $537.03 | Professional | 52 · Reduced service | $346.74 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $199.53 Typical High $218.78 | Professional | 53 · Discontinued | $138.04 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $147.91 Typical High $162.18 | Professional | 55 · Aftercare only | $104.71 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $100.00 Typical High $107.15 | Professional | 56 · Pre-op care only | $69.18 | $100.00 | $107.15 |
Where Kansas sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 17th of 51
$1,072
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.