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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $660.69 | Professional | None | $457.09 | $645.65 | $660.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $676.08 | Facility | None | $645.65 | $676.08 | $676.08 |
BCBS Kansas Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $4,466.84 | Facility | None | $457.09 | $741.31 | $4,466.84 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $5,495.41 | Professional | None | $371.54 | $588.84 | $5,495.41 |
United Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $1,122.02 | Facility | None | $398.11 | $501.19 | $1,122.02 |
United Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $630.96 | Professional | None | $288.40 | $436.52 | $630.96 |
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 $229.09 Median $323.59 Typical High $331.13 | Professional | 52 · Reduced service | $229.09 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $128.82 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $67.61 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $64.57 Typical High $66.07 | Professional | 56 · Pre-op care only | $45.71 | $64.57 | $66.07 |
Where Kansas sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 19th of 51
$676
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.