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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,071.52 | Professional | None | $691.83 | $1,000.00 | $1,071.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,621.81 | $1,621.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $6,309.57 | Facility | None | $676.08 | $1,047.13 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $10,000.00 | Professional | None | $457.09 | $724.44 | $10,000.00 |
United Setting Facility Modifier None Typical Low $776.25 Median $912.01 Typical High $1,584.89 | Facility | None | $776.25 | $912.01 | $1,584.89 |
United Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $831.76 | Professional | None | $416.87 | $630.96 | $831.76 |
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 $346.74 Median $489.78 Typical High $537.03 | Professional | 52 · Reduced service | $346.74 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $199.53 Typical High $213.80 | Professional | 53 · Discontinued | $138.04 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $147.91 Typical High $162.18 | Professional | 55 · Aftercare only | $102.33 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $100.00 Typical High $107.15 | Professional | 56 · Pre-op care only | $69.18 | $100.00 | $107.15 |
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
$1,514
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.