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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $645.65 | Professional | None | $416.87 | $602.56 | $645.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $891.25 Median $933.25 Typical High $933.25 | Facility | None | $891.25 | $933.25 | $933.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $3,801.89 | Facility | None | $407.38 | $630.96 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $6,165.95 | Professional | None | $275.42 | $426.58 | $6,165.95 |
United Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $977.24 | Facility | None | $478.63 | $630.96 | $977.24 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $501.19 | Professional | None | $251.19 | $380.19 | $501.19 |
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 $208.93 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $208.93 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $120.23 Typical High $128.82 | Professional | 53 · Discontinued | $83.18 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $61.66 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $60.26 Typical High $64.57 | Professional | 56 · Pre-op care only | $41.69 | $60.26 | $64.57 |
Where Kansas sits
The same service costs 4.6 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· 3rd of 51
$871
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.