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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $331.13 | Professional | None | $229.09 | $323.59 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $380.19 Median $398.11 Typical High $407.38 | Facility | None | $380.19 | $398.11 | $407.38 |
BCBS Kansas Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $2,344.23 | Facility | None | $229.09 | $363.08 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $2,884.03 | Professional | None | $186.21 | $295.12 | $2,884.03 |
United Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $588.84 | Facility | None | $190.55 | $229.09 | $588.84 |
United Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $323.59 | Professional | None | $144.54 | $218.78 | $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 $114.82 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $114.82 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $64.57 Typical High $66.07 | Professional | 53 · Discontinued | $45.71 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $33.88 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $32.36 Typical High $33.11 | Professional | 56 · Pre-op care only | $22.91 | $32.36 | $33.11 |
Where Kansas sits
The same service costs 2.5 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· 15th of 51
$380
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.