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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $457.09 | Professional | None | $316.23 | $446.68 | $457.09 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $3,090.30 | Facility | None | $316.23 | $512.86 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $3,630.78 | Professional | None | $257.04 | $407.38 | $3,630.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $794.33 | Facility | None | $229.09 | $288.40 | $794.33 |
United Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $436.52 | Professional | None | $204.17 | $302.00 | $436.52 |
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 $158.49 Median $223.87 Typical High $229.09 | Professional | 52 · Reduced service | $158.49 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $89.13 Typical High $91.20 | Professional | 53 · Discontinued | $63.10 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $47.86 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $44.67 Typical High $45.71 | Professional | 56 · Pre-op care only | $31.62 | $44.67 | $45.71 |
Where Kansas sits
The same service costs 2.3 times more in Wisconsin 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· 17th of 51
$501
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.