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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | None | $741.31 | $1,071.52 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | None | $977.24 | $1,096.48 | $1,096.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,202.26 | $1,230.27 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $7,585.78 | Facility | None | $758.58 | $1,202.26 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $9,549.93 | Professional | None | $616.60 | $954.99 | $9,549.93 |
United Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,949.84 | Facility | None | $457.09 | $724.44 | $1,949.84 |
United Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $1,096.48 | Professional | None | $478.63 | $724.44 | $1,096.48 |
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 $371.54 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $371.54 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $151.36 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $158.49 Typical High $162.18 | Professional | 55 · Aftercare only | $112.20 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $74.13 | $107.15 | $107.15 |
Where Kansas sits
The same service costs 2.6 times more in Montana 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· 16th of 51
$1,202
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.