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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $363.08 | Professional | None | $257.04 | $363.08 | $363.08 |
BCBS Kansas Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $380.19 | Facility | None | $363.08 | $380.19 | $380.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $2,344.23 | Facility | None | $257.04 | $407.38 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $3,388.44 | Professional | None | $208.93 | $323.59 | $3,388.44 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $588.84 | Facility | None | $288.40 | $389.05 | $588.84 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $331.13 | Professional | None | $162.18 | $245.47 | $331.13 |
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 $125.89 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $53.70 Typical High $54.95 | Professional | 55 · Aftercare only | $38.02 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $25.70 | $36.31 | $36.31 |
Where Kansas sits
The same service costs 4.1 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· 14th of 51
$380
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.