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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | None | $416.87 | $602.56 | $602.56 |
BCBS Kansas Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $616.60 | Facility | None | $588.84 | $616.60 | $616.60 |
BCBS Kansas Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $3,715.35 | Facility | None | $426.58 | $676.08 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $4,570.88 | Professional | None | $346.74 | $524.81 | $4,570.88 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $933.25 | Facility | None | $426.58 | $467.74 | $933.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $537.03 | Professional | None | $269.15 | $407.38 | $537.03 |
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 $208.93 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $89.13 Typical High $91.20 | Professional | 55 · Aftercare only | $63.10 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $60.26 | $60.26 |
Where Kansas sits
The same service costs 3.0 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· 15th of 51
$617
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.