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 $61.66 Median $83.18 Typical High $107.15 | Facility | None | $61.66 | $83.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $107.15 | Professional | None | $39.81 | $63.10 | $107.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $251.19 | Facility | None | $234.42 | $251.19 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $100.00 | Professional | None | $67.61 | $67.61 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $57.54 | Facility | None | $39.81 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $70.79 Typical High $120.23 | Professional | None | $47.86 | $70.79 | $120.23 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $588.84 | Professional | None | $74.13 | $89.13 | $588.84 |
United Setting Facility Modifier None Typical Low $125.89 Median $398.11 Typical High $1,778.28 | Facility | None | $125.89 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $102.33 | Professional | None | $47.86 | $74.13 | $102.33 |
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 $19.95 Median $30.90 Typical High $53.70 | Professional | 52 · Reduced service | $19.95 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $12.30 Typical High $21.38 | Professional | 53 · Discontinued | $7.94 | $12.30 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.33 Typical High $16.22 | Professional | 55 · Aftercare only | $6.03 | $9.33 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.17 Typical High $10.72 | Professional | 56 · Pre-op care only | $3.98 | $6.17 | $10.72 |
Where Kansas sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 11th of 51
$100
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.