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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $371.54 | Professional | None | $234.42 | $338.84 | $371.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $316.23 Median $331.13 Typical High $338.84 | Facility | None | $316.23 | $331.13 | $338.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $2,238.72 | Facility | None | $234.42 | $354.81 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $3,715.35 | Professional | None | $158.49 | $245.47 | $3,715.35 |
United Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $562.34 | Facility | None | $213.80 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $288.40 | Professional | None | $141.25 | $213.80 | $288.40 |
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 $117.49 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $117.49 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $46.77 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $51.29 Typical High $54.95 | Professional | 55 · Aftercare only | $35.48 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $33.88 Typical High $37.15 | Professional | 56 · Pre-op care only | $23.44 | $33.88 | $37.15 |
Where Kansas sits
The same service costs 4.7 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· 14th of 51
$339
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.