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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $371.54 | Professional | None | $257.04 | $363.08 | $371.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03 | Facility | None | $295.12 | $309.03 | $309.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $2,238.72 | Facility | None | $257.04 | $416.87 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $2,630.27 | Professional | None | $208.93 | $309.03 | $2,630.27 |
United Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $562.34 | Facility | None | $218.78 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $316.23 | Professional | None | $162.18 | $245.47 | $316.23 |
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 $128.82 Median $181.97 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $72.44 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $38.02 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $36.31 Typical High $37.15 | Professional | 56 · Pre-op care only | $25.70 | $36.31 | $37.15 |
Where Kansas sits
The same service costs 2.9 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· 15th of 51
$331
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.