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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $446.68 | Professional | None | $288.40 | $416.87 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $169.82 | Facility | None | $162.18 | $169.82 | $169.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $436.52 Typical High $2,818.38 | Facility | None | $281.84 | $436.52 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $3,630.78 | Professional | None | $199.53 | $302.00 | $3,630.78 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $707.95 | Facility | None | $346.74 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $346.74 | Professional | None | $173.78 | $263.03 | $346.74 |
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 $144.54 Median $204.17 Typical High $223.87 | Professional | 52 · Reduced service | $144.54 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $57.54 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $61.66 Typical High $67.61 | Professional | 55 · Aftercare only | $42.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $41.69 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.84 | $41.69 | $44.67 |
Where Kansas sits
The same service costs 4.5 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
$204
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.