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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $229.09 | Professional | None | $158.49 | $223.87 | $229.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $295.12 | Facility | None | $281.84 | $288.40 | $295.12 |
BCBS Kansas Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $1,513.56 | Facility | None | $158.49 | $257.04 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $2,137.96 | Professional | None | $128.82 | $204.17 | $2,137.96 |
United Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $380.19 | Facility | None | $186.21 | $229.09 | $380.19 |
United Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $213.80 | Professional | None | $102.33 | $151.36 | $213.80 |
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 $79.43 Median $112.20 Typical High $114.82 | Professional | 52 · Reduced service | $79.43 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $44.67 Typical High $45.71 | Professional | 53 · Discontinued | $31.62 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $23.99 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $22.39 Typical High $22.91 | Professional | 56 · Pre-op care only | $15.85 | $22.39 | $22.91 |
Where Kansas sits
The same service costs 4.0 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· 11th of 51
$282
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.