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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $194.98 | Professional | None | $123.03 | $177.83 | $194.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $107.15 | Facility | None | $102.33 | $107.15 | $107.15 |
BCBS Kansas Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $1,258.93 | Facility | None | $123.03 | $186.21 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $3,388.44 | Professional | None | $87.10 | $128.82 | $3,388.44 |
United Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $389.05 | Facility | None | $151.36 | $263.03 | $389.05 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $151.36 | Professional | None | $75.86 | $112.20 | $151.36 |
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 $61.66 Median $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $61.66 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $35.48 Typical High $38.90 | Professional | 53 · Discontinued | $25.12 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $26.92 Typical High $28.84 | Professional | 55 · Aftercare only | $18.62 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $17.78 Typical High $19.50 | Professional | 56 · Pre-op care only | $12.30 | $17.78 | $19.50 |
Where Kansas sits
The same service costs 8.1 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· 40th of 51
$126
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.