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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $512.86 | Professional | None | $354.81 | $512.86 | $512.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $467.74 | Facility | None | $446.68 | $467.74 | $467.74 |
BCBS Kansas Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None | $338.84 | $338.84 | $467.74 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $3,311.31 | Facility | None | $363.08 | $575.44 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $3,981.07 | Professional | None | $288.40 | $457.09 | $3,981.07 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $851.14 | Facility | None | $380.19 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $478.63 | Professional | None | $229.09 | $346.74 | $478.63 |
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 $177.83 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $177.83 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $70.79 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $75.86 Typical High $77.62 | Professional | 55 · Aftercare only | $53.70 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $35.48 | $51.29 | $51.29 |
Where Kansas sits
The same service costs 2.9 times more in Hawaii 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· 17th of 51
$479
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.