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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $288.40 | Professional | None | $199.53 | $281.84 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $478.63 Median $501.19 Typical High $512.86 | Facility | None | $478.63 | $501.19 | $512.86 |
BCBS Kansas Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $316.23 Typical High $1,995.26 | Facility | None | $199.53 | $316.23 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $2,511.89 | Professional | None | $162.18 | $257.04 | $2,511.89 |
United Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $512.86 | Facility | None | $190.55 | $245.47 | $512.86 |
United Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $288.40 | Professional | None | $125.89 | $190.55 | $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 $100.00 Median $141.25 Typical High $144.54 | Professional | 52 · Reduced service | $100.00 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $39.81 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $29.51 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $28.18 Typical High $28.84 | Professional | 56 · Pre-op care only | $19.95 | $28.18 | $28.84 |
Where Kansas sits
The same service costs 2.5 times more in Kansas 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· 1st of 51
$457
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.