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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $467.74 | Professional | None | $323.59 | $457.09 | $467.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Facility | None | $501.19 | $524.81 | $524.81 |
BCBS Kansas Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $3,235.94 | Facility | None | $323.59 | $524.81 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $3,715.35 | Professional | None | $263.03 | $416.87 | $3,715.35 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $851.14 | Facility | None | $281.84 | $331.13 | $851.14 |
United Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $478.63 | Professional | None | $208.93 | $309.03 | $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 $162.18 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $162.18 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $64.57 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $69.18 Typical High $70.79 | Professional | 55 · Aftercare only | $48.98 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $32.36 | $45.71 | $46.77 |
Where Kansas sits
The same service costs 2.6 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· 17th of 51
$501
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.