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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $346.74 | Professional | None | $213.80 | $323.59 | $346.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $245.47 Median $257.04 Typical High $257.04 | Facility | None | $245.47 | $257.04 | $257.04 |
BCBS Kansas Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $338.84 Typical High $1,905.46 | Facility | None | $218.78 | $338.84 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $2,398.83 | Professional | None | $134.90 | $218.78 | $2,398.83 |
United Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $467.74 | Facility | None | $229.09 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $257.04 | Professional | None | $131.83 | $204.17 | $257.04 |
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 $112.20 Median $158.49 Typical High $173.78 | Professional | 52 · Reduced service | $112.20 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $64.57 Typical High $69.18 | Professional | 53 · Discontinued | $44.67 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $47.86 Typical High $52.48 | Professional | 55 · Aftercare only | $33.11 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $32.36 Typical High $34.67 | Professional | 56 · Pre-op care only | $22.39 | $32.36 | $34.67 |
Where Kansas sits
The same service costs 3.5 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· 19th of 51
$269
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.