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 $85.11 Median $114.82 Typical High $120.23 | Facility | None | $85.11 | $114.82 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $85.11 Typical High $120.23 | Professional | None | $54.95 | $85.11 | $120.23 |
BCBS Kansas Setting Facility Modifier None Typical Low $57.54 Median $263.03 Typical High $275.42 | Facility | None | $57.54 | $263.03 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $165.96 Typical High $165.96 | Facility | None | $57.54 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $138.04 | Professional | None | $60.26 | $93.33 | $138.04 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $186.21 Typical High $1,288.25 | Facility | None | $54.95 | $186.21 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $446.68 Typical High $575.44 | Professional | None | $87.10 | $446.68 | $575.44 |
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 $64.57 Median $87.10 Typical High $120.23 | Professional | None | $64.57 | $87.10 | $120.23 |
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 $27.54 Median $42.66 Typical High $60.26 | Professional | 52 · Reduced service | $27.54 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.98 Typical High $23.99 | Professional | 53 · Discontinued | $10.96 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.88 Typical High $18.20 | Professional | 55 · Aftercare only | $8.13 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $8.51 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.50 | $8.51 | $12.02 |
Where Kansas sits
The same service costs 3.5 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· 14th of 51
$107
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.