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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $575.44 | Professional | None | $371.54 | $537.03 | $575.44 |
BCBS Kansas Setting Facility Modifier None Typical Low $524.81 Median $537.03 Typical High $549.54 | Facility | None | $524.81 | $537.03 | $549.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $562.34 Typical High $3,162.28 | Facility | None | $363.08 | $562.34 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $3,388.44 | Professional | None | $234.42 | $363.08 | $3,388.44 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $831.76 | Facility | None | $707.95 | $707.95 | $831.76 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $446.68 | Professional | None | $223.87 | $338.84 | $446.68 |
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 $186.21 Median $269.15 Typical High $288.40 | Professional | 52 · Reduced service | $186.21 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $107.15 Typical High $114.82 | Professional | 53 · Discontinued | $74.13 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $79.43 Typical High $87.10 | Professional | 55 · Aftercare only | $56.23 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $53.70 Typical High $57.54 | Professional | 56 · Pre-op care only | $37.15 | $53.70 | $57.54 |
Where Kansas sits
The same service costs 2.2 times more in Montana 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· 15th of 51
$550
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.