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 $47.86 Median $85.11 Typical High $131.83 | Facility | None | $47.86 | $85.11 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $131.83 | Professional | None | $41.69 | $72.44 | $131.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $64.57 Median $218.78 Typical High $229.09 | Facility | None | $64.57 | $218.78 | $229.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Professional | None | $102.33 | $102.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $93.33 Typical High $93.33 | Facility | None | $63.10 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $125.89 | Professional | None | $51.29 | $93.33 | $125.89 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $177.83 Typical High $1,380.38 | Facility | None | $54.95 | $177.83 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $331.13 Typical High $616.60 | Professional | None | $91.20 | $331.13 | $616.60 |
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 $50.12 Median $83.18 Typical High $114.82 | Professional | None | $50.12 | $83.18 | $114.82 |
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 $20.89 Median $32.36 Typical High $64.57 | Professional | 52 · Reduced service | $20.89 | $32.36 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $26.30 | Professional | 53 · Discontinued | $8.32 | $12.88 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $9.55 Typical High $19.50 | Professional | 55 · Aftercare only | $6.31 | $9.55 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $6.46 Typical High $13.18 | Professional | 56 · Pre-op care only | $4.17 | $6.46 | $13.18 |
Where Kansas sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 12th of 51
$102
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.