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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $436.52 | Professional | None | $302.00 | $436.52 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | None | $398.11 | $446.68 | $446.68 |
BCBS Kansas Setting Facility Modifier None Typical Low $467.74 Median $489.78 Typical High $501.19 | Facility | None | $467.74 | $489.78 | $501.19 |
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $489.78 Typical High $3,162.28 | Facility | None | $309.03 | $489.78 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $3,890.45 | Professional | None | $251.19 | $389.05 | $3,890.45 |
United Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $794.33 | Facility | None | $346.74 | $389.05 | $794.33 |
United Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $446.68 | Professional | None | $194.98 | $295.12 | $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 $151.36 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $151.36 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $60.26 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $64.57 Typical High $66.07 | Professional | 55 · Aftercare only | $45.71 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $30.20 | $43.65 | $43.65 |
Where Kansas sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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
$468
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.