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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $295.12 | Professional | None | $186.21 | $269.15 | $295.12 |
BCBS Kansas Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $77.62 | Facility | None | $74.13 | $77.62 | $77.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None | $117.49 | $117.49 | $158.49 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $1,412.54 | Facility | None | $186.21 | $281.84 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $1,862.09 | Professional | None | $107.15 | $169.82 | $1,862.09 |
United Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $346.74 | Facility | None | $141.25 | $169.82 | $346.74 |
United Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $218.78 | Professional | None | $97.72 | $169.82 | $218.78 |
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 $93.33 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $93.33 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $37.15 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $40.74 Typical High $43.65 | Professional | 55 · Aftercare only | $28.18 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $26.92 Typical High $29.51 | Professional | 56 · Pre-op care only | $18.62 | $26.92 | $29.51 |
Where Kansas sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 51st of 51
$107
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.