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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $562.34 | Professional | None | $389.05 | $549.54 | $562.34 |
BCBS Kansas Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $630.96 | Facility | None | $602.56 | $630.96 | $630.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $389.05 Median $630.96 Typical High $3,311.31 | Facility | None | $389.05 | $630.96 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $3,630.78 | Professional | None | $316.23 | $478.63 | $3,630.78 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $851.14 | Facility | None | $363.08 | $363.08 | $851.14 |
United Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $489.78 | Professional | None | $245.47 | $371.54 | $489.78 |
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 $194.98 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $194.98 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $109.65 Typical High $112.20 | Professional | 53 · Discontinued | $77.62 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $57.54 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $54.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $38.90 | $54.95 | $56.23 |
Where Kansas sits
The same service costs 2.8 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· 12th of 51
$603
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.