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 $107.15 Median $144.54 Typical High $154.88 | Facility | None | $107.15 | $144.54 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $154.88 | Professional | None | $69.18 | $107.15 | $154.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $79.43 Median $407.38 Typical High $436.52 | Facility | None | $79.43 | $407.38 | $436.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $165.96 | Facility | None | $70.79 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $141.25 | Professional | None | $72.44 | $114.82 | $141.25 |
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 $100.00 Median $501.19 Typical High $724.44 | Professional | None | $100.00 | $501.19 | $724.44 |
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 $74.13 Median $100.00 Typical High $144.54 | Professional | None | $74.13 | $100.00 | $144.54 |
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 $34.67 Median $52.48 Typical High $77.62 | Professional | 52 · Reduced service | $34.67 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.38 Typical High $30.90 | Professional | 53 · Discontinued | $13.80 | $21.38 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $15.85 Typical High $22.91 | Professional | 55 · Aftercare only | $10.23 | $15.85 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.72 Typical High $15.49 | Professional | 56 · Pre-op care only | $6.92 | $10.72 | $15.49 |
Where Kansas sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 17th of 51
$120
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.