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 $43.65 Median $69.18 Typical High $104.71 | Facility | None | $43.65 | $69.18 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $104.71 | Professional | None | $40.74 | $64.57 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | None | $66.07 | $66.07 | $75.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $218.78 Median $229.09 Typical High $229.09 | Facility | None | $218.78 | $229.09 | $229.09 |
BCBS Kansas Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $91.20 | Professional | None | $56.23 | $56.23 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $57.54 | Facility | None | $50.12 | $50.12 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $95.50 | Professional | None | $42.66 | $75.86 | $95.50 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,380.38 | Facility | None | $54.95 | $186.21 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $302.00 Typical High $501.19 | Professional | None | $72.44 | $302.00 | $501.19 |
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 $44.67 Median $66.07 Typical High $91.20 | Professional | None | $44.67 | $66.07 | $91.20 |
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 $20.42 Median $31.62 Typical High $52.48 | Professional | 52 · Reduced service | $20.42 | $31.62 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.59 Typical High $21.38 | Professional | 53 · Discontinued | $8.13 | $12.59 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.33 Typical High $15.85 | Professional | 55 · Aftercare only | $6.03 | $9.33 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.31 Typical High $10.47 | Professional | 56 · Pre-op care only | $4.07 | $6.31 | $10.47 |
Where Kansas sits
The same service costs 4.0 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
$81.28
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.