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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $407.38 | Professional | None | $263.03 | $380.19 | $407.38 |
BCBS Kansas Setting Facility Modifier None Typical Low $346.74 Median $363.08 Typical High $371.54 | Facility | None | $346.74 | $363.08 | $371.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $398.11 Typical High $2,570.40 | Facility | None | $257.04 | $398.11 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $3,630.78 | Professional | None | $181.97 | $275.42 | $3,630.78 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $645.65 | Facility | None | $316.23 | $346.74 | $645.65 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $316.23 | Professional | None | $158.49 | $239.88 | $316.23 |
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 $131.83 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $131.83 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $52.48 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $56.23 Typical High $61.66 | Professional | 55 · Aftercare only | $38.90 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $26.30 | $38.02 | $40.74 |
Where Kansas sits
The same service costs 4.2 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· 17th of 51
$372
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.