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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,148.15 | Professional | None | $741.31 | $1,071.52 | $1,148.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $851.14 Median $891.25 Typical High $891.25 | Facility | None | $851.14 | $891.25 | $891.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,122.02 Typical High $7,079.46 | Facility | None | $724.44 | $1,122.02 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $8,709.64 | Professional | None | $512.86 | $776.25 | $8,709.64 |
United Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,819.70 | Facility | None | $630.96 | $776.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $891.25 | Professional | None | $446.68 | $676.08 | $891.25 |
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 $371.54 Median $537.03 Typical High $575.44 | Professional | 52 · Reduced service | $371.54 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $213.80 Typical High $234.42 | Professional | 53 · Discontinued | $147.91 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $112.20 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $107.15 Typical High $114.82 | Professional | 56 · Pre-op care only | $74.13 | $107.15 | $114.82 |
Where Kansas sits
The same service costs 3.0 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· 19th of 51
$933
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.