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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $588.84 | Professional | None | $371.54 | $537.03 | $588.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $537.03 Median $549.54 Typical High $562.34 | Facility | None | $537.03 | $549.54 | $562.34 |
BCBS Kansas Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $3,467.37 | Facility | None | $371.54 | $562.34 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $5,011.87 | Professional | None | $251.19 | $389.05 | $5,011.87 |
United Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $891.25 | Facility | None | $436.52 | $575.44 | $891.25 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $457.09 | Professional | None | $223.87 | $338.84 | $457.09 |
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 $117.49 | Professional | 53 · Discontinued | $74.13 | $107.15 | $117.49 |
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 $58.88 | Professional | 56 · Pre-op care only | $37.15 | $53.70 | $58.88 |
Where Kansas sits
The same service costs 4.3 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· 15th of 51
$562
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.