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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $457.09 | Professional | None | $295.12 | $426.58 | $457.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $537.03 | Facility | None | $512.86 | $537.03 | $537.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $446.68 Typical High $2,884.03 | Facility | None | $288.40 | $446.68 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $4,168.69 | Professional | None | $204.17 | $309.03 | $4,168.69 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $724.44 | Facility | None | $354.81 | $407.38 | $724.44 |
United Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $354.81 | Professional | None | $177.83 | $269.15 | $354.81 |
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 $147.91 Median $213.80 Typical High $229.09 | Professional | 52 · Reduced service | $147.91 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $58.88 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $63.10 Typical High $69.18 | Professional | 55 · Aftercare only | $44.67 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $42.66 Typical High $45.71 | Professional | 56 · Pre-op care only | $29.51 | $42.66 | $45.71 |
Where Kansas sits
The same service costs 4.2 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· 11th 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.