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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $323.59 | Professional | None | $208.93 | $302.00 | $323.59 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Facility | None | $229.09 | $239.88 | $239.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $2,089.30 | Facility | None | $204.17 | $316.23 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $3,890.45 | Professional | None | $144.54 | $218.78 | $3,890.45 |
United Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $512.86 | Facility | None | $251.19 | $380.19 | $512.86 |
United Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $251.19 | Professional | None | $125.89 | $190.55 | $251.19 |
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 $104.71 Median $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $104.71 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $41.69 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $44.67 Typical High $48.98 | Professional | 55 · Aftercare only | $30.90 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $30.20 Typical High $32.36 | Professional | 56 · Pre-op care only | $20.89 | $30.20 | $32.36 |
Where Kansas sits
The same service costs 5.5 times more in Hawaii than in Florida. 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· 21st of 51
$263
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.