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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $218.78 | Professional | None | $151.36 | $213.80 | $218.78 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $234.42 | Facility | None | $218.78 | $229.09 | $234.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $1,513.56 | Facility | None | $151.36 | $239.88 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $1,819.70 | Professional | None | $123.03 | $194.98 | $1,819.70 |
United Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $380.19 | Facility | None | $186.21 | $208.93 | $380.19 |
United Setting Professional Modifier None Typical Low $95.50 Median $144.54 Typical High $208.93 | Professional | None | $95.50 | $144.54 | $208.93 |
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 $75.86 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $75.86 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $22.39 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $15.14 | $21.38 | $21.88 |
Where Kansas sits
The same service costs 3.5 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· 16th of 51
$229
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.