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 $70.79 Median $97.72 Typical High $138.04 | Facility | None | $70.79 | $97.72 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $138.04 | Professional | None | $63.10 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $72.44 Median $407.38 Typical High $436.52 | Facility | None | $72.44 | $407.38 | $436.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Professional | None | $87.10 | $87.10 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $165.96 Typical High $165.96 | Facility | None | $64.57 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $128.82 | Professional | None | $66.07 | $104.71 | $128.82 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,380.38 | Facility | None | $54.95 | $199.53 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $467.74 Typical High $660.69 | Professional | None | $91.20 | $467.74 | $660.69 |
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 $66.07 Median $91.20 Typical High $131.83 | Professional | None | $66.07 | $91.20 | $131.83 |
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 $31.62 Median $48.98 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.50 Typical High $28.18 | Professional | 53 · Discontinued | $12.88 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.79 Typical High $20.89 | Professional | 55 · Aftercare only | $9.55 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.77 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.31 | $9.77 | $13.80 |
Where Kansas sits
The same service costs 3.7 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· 15th of 51
$112
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.