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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $537.03 | Professional | None | $371.54 | $524.81 | $537.03 |
BCBS Kansas Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $758.58 | Facility | None | $724.44 | $758.58 | $758.58 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $3,630.78 | Facility | None | $371.54 | $588.84 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $4,265.80 | Professional | None | $302.00 | $467.74 | $4,265.80 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $870.96 | Facility | None | $371.54 | $371.54 | $870.96 |
United Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $489.78 | Professional | None | $234.42 | $354.81 | $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 $186.21 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $186.21 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $104.71 Typical High $107.15 | Professional | 53 · Discontinued | $74.13 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $54.95 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $52.48 Typical High $53.70 | Professional | 56 · Pre-op care only | $37.15 | $52.48 | $53.70 |
Where Kansas sits
The same service costs 2.8 times more in Wisconsin 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· 6th of 51
$724
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.