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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,122.02 | Professional | None | $724.44 | $1,047.13 | $1,122.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,445.44 | Facility | None | $1,348.96 | $1,412.54 | $1,445.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,096.48 Typical High $7,079.46 | Facility | None | $707.95 | $1,096.48 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $12,882.50 | Professional | None | $501.19 | $758.58 | $12,882.50 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $870.96 | Professional | None | $436.52 | $660.69 | $870.96 |
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 $363.08 Median $524.81 Typical High $562.34 | Professional | 52 · Reduced service | $363.08 | $524.81 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $208.93 Typical High $223.87 | Professional | 53 · Discontinued | $144.54 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $109.65 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $104.71 Typical High $112.20 | Professional | 56 · Pre-op care only | $72.44 | $104.71 | $112.20 |
Where Kansas sits
The same service costs 5.4 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· 6th of 51
$1,349
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.