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 $17.78 Median $28.84 Typical High $44.67 | Facility | None | $17.78 | $28.84 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $44.67 | Professional | None | $17.38 | $28.18 | $44.67 |
BCBS Kansas Setting Facility Modifier None Typical Low $17.38 Median $263.03 Typical High $275.42 | Facility | None | $17.38 | $263.03 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | None | $36.31 | $36.31 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $93.33 Typical High $93.33 | Facility | None | $17.38 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $58.88 | Professional | None | $19.50 | $36.31 | $58.88 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $165.96 Typical High $1,288.25 | Facility | None | $51.29 | $165.96 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $128.82 Typical High $208.93 | Professional | None | $33.11 | $128.82 | $208.93 |
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 $20.89 Median $33.11 Typical High $47.86 | Professional | None | $20.89 | $33.11 | $47.86 |
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 $8.71 Median $13.80 Typical High $22.39 | Professional | 52 · Reduced service | $8.71 | $13.80 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $5.50 Typical High $8.91 | Professional | 53 · Discontinued | $3.47 | $5.50 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.17 Typical High $6.61 | Professional | 55 · Aftercare only | $2.63 | $4.17 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.75 Typical High $4.47 | Professional | 56 · Pre-op care only | $1.74 | $2.75 | $4.47 |
Where Kansas sits
The same service costs 3.0 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
$44.67
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.