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 $53.70 Median $72.44 Typical High $87.10 | Facility | None | $53.70 | $72.44 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $87.10 | Professional | None | $34.67 | $53.70 | $87.10 |
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 $57.54 Median $57.54 Typical High $89.13 | Professional | None | $57.54 | $57.54 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $57.54 | Facility | None | $33.11 | $33.11 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $58.88 Typical High $75.86 | Professional | None | $36.31 | $58.88 | $75.86 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $162.18 Typical High $1,288.25 | Facility | None | $54.95 | $162.18 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $257.04 Typical High $407.38 | Professional | None | $54.95 | $257.04 | $407.38 |
United Setting Facility Modifier None Typical Low $114.82 Median $398.11 Typical High $1,778.28 | Facility | None | $114.82 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $75.86 | Professional | None | $35.48 | $52.48 | $75.86 |
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 $17.38 Median $26.92 Typical High $43.65 | Professional | 52 · Reduced service | $17.38 | $26.92 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $10.72 Typical High $17.38 | Professional | 53 · Discontinued | $6.92 | $10.72 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $8.13 Typical High $12.88 | Professional | 55 · Aftercare only | $5.25 | $8.13 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $5.37 Typical High $8.71 | Professional | 56 · Pre-op care only | $3.47 | $5.37 | $8.71 |
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· 13th of 51
$69.18
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.