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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $478.63 | Professional | None | $331.13 | $467.74 | $478.63 |
BCBS Kansas Setting Facility Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Facility | None | $426.58 | $446.68 | $446.68 |
BCBS Kansas Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $3,388.44 | Facility | None | $331.13 | $537.03 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $4,786.30 | Professional | None | $269.15 | $426.58 | $4,786.30 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $870.96 | Facility | None | $426.58 | $467.74 | $870.96 |
United Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $489.78 | Professional | None | $213.80 | $316.23 | $489.78 |
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 $165.96 Median $234.42 Typical High $239.88 | Professional | 52 · Reduced service | $165.96 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $66.07 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $70.79 Typical High $72.44 | Professional | 55 · Aftercare only | $50.12 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $46.77 Typical High $47.86 | Professional | 56 · Pre-op care only | $33.11 | $46.77 | $47.86 |
Where Kansas sits
The same service costs 3.9 times more in Hawaii 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· 20th of 51
$479
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.