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 $177.83 Median $229.09 Typical High $234.42 | Facility | None | $177.83 | $229.09 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $229.09 | Professional | None | $112.20 | $177.83 | $229.09 |
BCBS Kansas Setting Facility Modifier None Typical Low $85.11 Median $263.03 Typical High $275.42 | Facility | None | $85.11 | $263.03 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | None | $154.88 | $154.88 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $87.10 Typical High $97.72 | Facility | None | $67.61 | $87.10 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $229.09 | Professional | None | $123.03 | $177.83 | $229.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $257.04 Typical High $1,288.25 | Facility | None | $54.95 | $257.04 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $851.14 Typical High $1,096.48 | Professional | None | $162.18 | $851.14 | $1,096.48 |
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 $128.82 Median $162.18 Typical High $223.87 | Professional | None | $128.82 | $162.18 | $223.87 |
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 $56.23 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $56.23 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $35.48 Typical High $45.71 | Professional | 53 · Discontinued | $22.39 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $26.30 Typical High $34.67 | Professional | 55 · Aftercare only | $16.98 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $17.78 Typical High $22.91 | Professional | 56 · Pre-op care only | $11.22 | $17.78 | $22.91 |
Where Kansas sits
The same service costs 4.3 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· 17th of 51
$182
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.