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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $758.58 | Professional | None | $489.78 | $691.83 | $758.58 |
BCBS Kansas Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $616.60 | Facility | None | $588.84 | $602.56 | $616.60 |
BCBS Kansas Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $4,365.16 | Facility | None | $478.63 | $741.31 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $5,248.07 | Professional | None | $316.23 | $489.78 | $5,248.07 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,122.02 | Facility | None | $478.63 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $588.84 | Professional | None | $295.12 | $446.68 | $588.84 |
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 $245.47 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $245.47 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $97.72 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $72.44 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $48.98 | $69.18 | $75.86 |
Where Kansas sits
The same service costs 3.2 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
$617
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.