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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $309.03 | Professional | None | $194.98 | $281.84 | $309.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $223.87 Median $229.09 Typical High $234.42 | Facility | None | $223.87 | $229.09 | $234.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $295.12 Typical High $1,819.70 | Facility | None | $194.98 | $295.12 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $2,290.87 | Professional | None | $138.04 | $204.17 | $2,290.87 |
United Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $478.63 | Facility | None | $199.53 | $234.42 | $478.63 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $239.88 | Professional | None | $117.49 | $177.83 | $239.88 |
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 $97.72 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $42.66 Typical High $45.71 | Professional | 55 · Aftercare only | $29.51 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $28.18 Typical High $30.90 | Professional | 56 · Pre-op care only | $19.50 | $28.18 | $30.90 |
Where Kansas sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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
$251
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.