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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $524.81 | Professional | None | $338.84 | $489.78 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Facility | None | $426.58 | $446.68 | $446.68 |
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $2,951.21 | Facility | None | $331.13 | $512.86 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $3,715.35 | Professional | None | $213.80 | $331.13 | $3,715.35 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $758.58 | Facility | None | $269.15 | $371.54 | $758.58 |
United Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $407.38 | Professional | None | $204.17 | $309.03 | $407.38 |
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 $169.82 Median $245.47 Typical High $263.03 | Professional | 52 · Reduced service | $169.82 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $67.61 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $51.29 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $48.98 Typical High $52.48 | Professional | 56 · Pre-op care only | $33.88 | $48.98 | $52.48 |
Where Kansas sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 16th of 51
$447
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.