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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,288.25 | Professional | None | $831.76 | $1,202.26 | $1,288.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Facility | None | $707.95 | $741.31 | $741.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,258.93 Typical High $7,413.10 | Facility | None | $812.83 | $1,258.93 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $870.96 Typical High $8,128.31 | Professional | None | $524.81 | $870.96 | $8,128.31 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,000.00 | Professional | None | $501.19 | $758.58 | $1,000.00 |
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 $416.87 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $416.87 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $165.96 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $177.83 Typical High $194.98 | Professional | 55 · Aftercare only | $123.03 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $120.23 Typical High $128.82 | Professional | 56 · Pre-op care only | $83.18 | $120.23 | $128.82 |
Where Kansas sits
The same service costs 3.0 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· 31st of 51
$851
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.