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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,148.15 | Professional | None | $794.33 | $1,148.15 | $1,148.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,445.44 | $1,479.11 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,288.25 Typical High $7,244.36 | Facility | None | $812.83 | $1,288.25 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $8,128.31 | Professional | None | $645.65 | $1,023.29 | $8,128.31 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,862.09 | Facility | None | $660.69 | $776.25 | $1,862.09 |
United Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,047.13 | Professional | None | $512.86 | $758.58 | $1,047.13 |
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 $398.11 Median $562.34 Typical High $575.44 | Professional | 52 · Reduced service | $398.11 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $158.49 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $169.82 Typical High $173.78 | Professional | 55 · Aftercare only | $120.23 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $79.43 | $114.82 | $114.82 |
Where Kansas sits
The same service costs 2.2 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
$1,380
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.