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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $707.95 | Professional | None | $489.78 | $691.83 | $707.95 |
BCBS Kansas Setting Facility Modifier None Typical Low $309.03 Median $323.59 Typical High $323.59 | Facility | None | $309.03 | $323.59 | $323.59 |
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $3,715.35 | Facility | None | $489.78 | $794.33 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $4,677.35 | Professional | None | $354.81 | $537.03 | $4,677.35 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $954.99 | Facility | None | $467.74 | $467.74 | $954.99 |
United Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $602.56 | Professional | None | $295.12 | $467.74 | $602.56 |
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 $245.47 Median $346.74 Typical High $354.81 | Professional | 52 · Reduced service | $245.47 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $138.04 Typical High $141.25 | Professional | 53 · Discontinued | $97.72 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $69.18 Typical High $70.79 | Professional | 56 · Pre-op care only | $48.98 | $69.18 | $70.79 |
Where Kansas sits
The same service costs 2.8 times more in Iowa 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· 43rd of 51
$417
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.