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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $741.31 | Professional | None | $512.86 | $741.31 | $741.31 |
BCBS Kansas Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,071.52 | $1,071.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | None | $467.74 | $467.74 | $645.65 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $4,073.80 | Facility | None | $524.81 | $831.76 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $4,677.35 | Professional | None | $371.54 | $575.44 | $4,677.35 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,023.29 | Facility | None | $489.78 | $489.78 | $1,023.29 |
United Setting Professional Modifier None Typical Low $309.03 Median $501.19 Typical High $630.96 | Professional | None | $309.03 | $501.19 | $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 $257.04 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $257.04 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $102.33 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $109.65 Typical High $112.20 | Professional | 55 · Aftercare only | $77.62 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $51.29 | $74.13 | $74.13 |
Where Kansas sits
The same service costs 2.7 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· 2nd of 51
$1,023
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.