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 $380.19 Median $549.54 Typical High $588.84 | Professional | None | $380.19 | $549.54 | $588.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $616.60 | Facility | None | $588.84 | $616.60 | $616.60 |
BCBS Kansas Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $575.44 Typical High $3,548.13 | Facility | None | $371.54 | $575.44 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $4,570.88 | Professional | None | $251.19 | $389.05 | $4,570.88 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $891.25 | Facility | None | $436.52 | $436.52 | $891.25 |
United Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $457.09 | Professional | None | $229.09 | $346.74 | $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 $190.55 Median $275.42 Typical High $295.12 | Professional | 52 · Reduced service | $190.55 | $275.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $109.65 Typical High $117.49 | Professional | 53 · Discontinued | $75.86 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $81.28 Typical High $89.13 | Professional | 55 · Aftercare only | $57.54 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $54.95 Typical High $58.88 | Professional | 56 · Pre-op care only | $38.02 | $54.95 | $58.88 |
Where Kansas sits
The same service costs 3.5 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· 14th of 51
$589
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.