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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $977.24 | Professional | None | $676.08 | $954.99 | $977.24 |
BCBS Kansas Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $977.24 | Facility | None | $912.01 | $954.99 | $977.24 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $5,623.41 | Facility | None | $676.08 | $1,096.48 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $6,309.57 | Professional | None | $537.03 | $812.83 | $6,309.57 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,479.11 | Facility | None | $616.60 | $645.65 | $1,479.11 |
United Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $831.76 | Professional | None | $426.58 | $645.65 | $831.76 |
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 $338.84 Median $478.63 Typical High $489.78 | Professional | 52 · Reduced service | $338.84 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $134.90 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $100.00 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $95.50 Typical High $97.72 | Professional | 56 · Pre-op care only | $67.61 | $95.50 | $97.72 |
Where Kansas sits
The same service costs 2.3 times more in Hawaii than in Pennsylvania. 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· 15th of 51
$977
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.