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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $389.05 | Professional | None | $269.15 | $389.05 | $389.05 |
BCBS Kansas Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $436.52 | Facility | None | $407.38 | $426.58 | $436.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $2,754.23 | Facility | None | $275.42 | $436.52 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $3,467.37 | Professional | None | $223.87 | $346.74 | $3,467.37 |
United Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $707.95 | Facility | None | $263.03 | $363.08 | $707.95 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $398.11 | Professional | None | $173.78 | $263.03 | $398.11 |
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 $134.90 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $58.88 | Professional | 55 · Aftercare only | $40.74 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $26.92 | $38.90 | $38.90 |
Where Kansas sits
The same service costs 2.8 times more in Wyoming 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· 12th of 51
$427
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.