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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $537.03 | Professional | None | $346.74 | $489.78 | $537.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $478.63 Median $501.19 Typical High $512.86 | Facility | None | $478.63 | $501.19 | $512.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $3,388.44 | Facility | None | $338.84 | $512.86 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $3,981.07 | Professional | None | $239.88 | $354.81 | $3,981.07 |
United Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $851.14 | Facility | None | $389.05 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $416.87 | Professional | None | $208.93 | $309.03 | $416.87 |
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 $169.82 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $169.82 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $69.18 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $74.13 Typical High $81.28 | Professional | 55 · Aftercare only | $51.29 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $48.98 Typical High $53.70 | Professional | 56 · Pre-op care only | $34.67 | $48.98 | $53.70 |
Where Kansas sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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
$513
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.