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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $436.52 | Professional | None | $281.84 | $407.38 | $436.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $398.11 Median $407.38 Typical High $416.87 | Facility | None | $398.11 | $407.38 | $416.87 |
BCBS Kansas Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $426.58 Typical High $2,691.53 | Facility | None | $275.42 | $426.58 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $3,467.37 | Professional | None | $194.98 | $295.12 | $3,467.37 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $691.83 | Facility | None | $338.84 | $363.08 | $691.83 |
United Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $338.84 | Professional | None | $169.82 | $257.04 | $338.84 |
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 $141.25 Median $199.53 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $81.28 Typical High $87.10 | Professional | 53 · Discontinued | $56.23 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $60.26 Typical High $66.07 | Professional | 55 · Aftercare only | $41.69 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $40.74 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.18 | $40.74 | $43.65 |
Where Kansas sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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· 17th of 51
$417
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.