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 $165.96 Median $223.87 Typical High $223.87 | Facility | None | $165.96 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $223.87 | Professional | None | $107.15 | $165.96 | $223.87 |
BCBS Kansas Setting Facility Modifier None Typical Low $102.33 Median $263.03 Typical High $275.42 | Facility | None | $102.33 | $263.03 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None | $162.18 | $162.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $165.96 Typical High $165.96 | Facility | None | $91.20 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $213.80 | Professional | None | $114.82 | $169.82 | $213.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $229.09 Typical High $1,288.25 | Facility | None | $54.95 | $229.09 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $776.25 Typical High $1,071.52 | Professional | None | $147.91 | $776.25 | $1,071.52 |
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 $117.49 Median $147.91 Typical High $213.80 | Professional | None | $117.49 | $147.91 | $213.80 |
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 $53.70 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $53.70 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $21.38 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $24.55 Typical High $33.11 | Professional | 55 · Aftercare only | $15.85 | $24.55 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $16.60 Typical High $22.39 | Professional | 56 · Pre-op care only | $10.72 | $16.60 | $22.39 |
Where Kansas sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 18th of 51
$174
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.