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 $29.51 Median $38.90 Typical High $53.70 | Facility | None | $29.51 | $38.90 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $29.51 Typical High $53.70 | Professional | None | $18.62 | $29.51 | $53.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $275.42 | Facility | None | $263.03 | $275.42 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | None | $41.69 | $41.69 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $57.54 | Facility | None | $38.02 | $38.02 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $43.65 Typical High $81.28 | Professional | None | $20.89 | $43.65 | $81.28 |
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 $40.74 Median $194.98 Typical High $323.59 | Professional | None | $40.74 | $194.98 | $323.59 |
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 $40.74 Typical High $60.26 | Professional | None | $22.39 | $40.74 | $60.26 |
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 $9.12 Median $14.79 Typical High $26.92 | Professional | 52 · Reduced service | $9.12 | $14.79 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $5.89 Typical High $10.72 | Professional | 53 · Discontinued | $3.72 | $5.89 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $4.37 Typical High $7.94 | Professional | 55 · Aftercare only | $2.75 | $4.37 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.95 Typical High $5.37 | Professional | 56 · Pre-op care only | $1.82 | $2.95 | $5.37 |
Where Kansas sits
The same service costs 3.8 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
$53.70
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.