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 $363.08 Median $512.86 Typical High $524.81 | Professional | None | $363.08 | $512.86 | $524.81 |
BCBS Kansas Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $549.54 | Facility | None | $524.81 | $549.54 | $549.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $2,818.38 | Facility | None | $363.08 | $575.44 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $3,162.28 | Professional | None | $269.15 | $407.38 | $3,162.28 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $724.44 | Facility | None | $281.84 | $331.13 | $724.44 |
United Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $446.68 | Professional | None | $223.87 | $346.74 | $446.68 |
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 $181.97 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $181.97 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $72.44 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $53.70 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $36.31 | $51.29 | $52.48 |
Where Kansas sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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· 11th of 51
$537
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.