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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $416.87 | Professional | None | $269.15 | $380.19 | $416.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $489.78 Median $512.86 Typical High $512.86 | Facility | None | $489.78 | $512.86 | $512.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $398.11 Typical High $2,454.71 | Facility | None | $263.03 | $398.11 | $2,454.71 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $3,388.44 | Professional | None | $177.83 | $275.42 | $3,388.44 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $630.96 | Facility | None | $234.42 | $309.03 | $630.96 |
United Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $323.59 | Professional | None | $162.18 | $239.88 | $323.59 |
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 $131.83 Median $190.55 Typical High $208.93 | Professional | 52 · Reduced service | $131.83 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $75.86 Typical High $83.18 | Professional | 53 · Discontinued | $53.70 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $57.54 Typical High $63.10 | Professional | 55 · Aftercare only | $39.81 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.02 Typical High $41.69 | Professional | 56 · Pre-op care only | $26.92 | $38.02 | $41.69 |
Where Kansas sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 7th of 51
$490
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.