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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $954.99 | Professional | None | $602.56 | $870.96 | $954.99 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $5,128.61 | Facility | None | $602.56 | $870.96 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $5,623.41 | Professional | None | $389.05 | $676.08 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Facility | None | $1,148.15 | $1,148.15 | $1,348.96 |
United Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $741.31 | Professional | None | $363.08 | $549.54 | $741.31 |
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 $302.00 Median $436.52 Typical High $467.74 | Professional | 52 · Reduced service | $302.00 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $173.78 Typical High $190.55 | Professional | 53 · Discontinued | $120.23 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $91.20 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $87.10 Typical High $95.50 | Professional | 56 · Pre-op care only | $60.26 | $87.10 | $95.50 |
Where Kansas sits
The same service costs 2.6 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· 11th of 51
$955
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.