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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,548.82 | Professional | None | $977.24 | $1,412.54 | $1,548.82 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,318.26 | $1,348.96 |
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,479.11 Typical High $7,413.10 | Facility | None | $977.24 | $1,479.11 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $954.99 Typical High $8,317.64 | Professional | None | $588.84 | $954.99 | $8,317.64 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $549.54 Median $891.25 Typical High $1,148.15 | Professional | None | $549.54 | $891.25 | $1,148.15 |
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 $489.78 Median $707.95 Typical High $758.58 | Professional | 52 · Reduced service | $489.78 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $281.84 Typical High $309.03 | Professional | 53 · Discontinued | $194.98 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $213.80 Typical High $229.09 | Professional | 55 · Aftercare only | $147.91 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $141.25 Typical High $154.88 | Professional | 56 · Pre-op care only | $97.72 | $141.25 | $154.88 |
Where Kansas sits
The same service costs 3.0 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· 13th of 51
$1,349
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.