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 $28.84 Median $37.15 Typical High $48.98 | Facility | None | $28.84 | $37.15 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $28.84 Typical High $48.98 | Professional | None | $17.78 | $28.84 | $48.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $22.39 Median $186.21 Typical High $194.98 | Facility | None | $22.39 | $186.21 | $194.98 |
BCBS Kansas Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $61.66 | Professional | None | $42.66 | $42.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $93.33 Typical High $93.33 | Facility | None | $21.88 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $43.65 Typical High $81.28 | Professional | None | $20.42 | $43.65 | $81.28 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $165.96 Typical High $1,288.25 | Facility | None | $54.95 | $165.96 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $162.18 Typical High $338.84 | Professional | None | $38.02 | $162.18 | $338.84 |
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 $22.39 Median $38.02 Typical High $61.66 | Professional | None | $22.39 | $38.02 | $61.66 |
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 $8.91 Median $14.13 Typical High $24.55 | Professional | 52 · Reduced service | $8.91 | $14.13 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $5.75 Typical High $9.77 | Professional | 53 · Discontinued | $3.55 | $5.75 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $4.27 Typical High $7.41 | Professional | 55 · Aftercare only | $2.69 | $4.27 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.88 Typical High $4.90 | Professional | 56 · Pre-op care only | $1.78 | $2.88 | $4.90 |
Where Kansas sits
The same service costs 3.5 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· 7th of 51
$51.29
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.