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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $660.69 | Professional | None | $457.09 | $660.69 | $660.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $870.96 Median $912.01 Typical High $912.01 | Facility | None | $870.96 | $912.01 | $912.01 |
BCBS Kansas Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $4,466.84 | Facility | None | $467.74 | $741.31 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $5,754.40 | Professional | None | $380.19 | $588.84 | $5,754.40 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $1,174.90 | Facility | None | $501.19 | $524.81 | $1,174.90 |
United Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $645.65 | Professional | None | $295.12 | $446.68 | $645.65 |
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 $229.09 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $229.09 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $97.72 Typical High $100.00 | Professional | 55 · Aftercare only | $69.18 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $45.71 | $66.07 | $66.07 |
Where Kansas sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 9th of 51
$871
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.