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 $125.89 Median $173.78 Typical High $194.98 | Facility | None | $125.89 | $173.78 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $194.98 | Professional | None | $83.18 | $125.89 | $194.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $87.10 Median $263.03 Typical High $281.84 | Facility | None | $87.10 | $263.03 | $281.84 |
BCBS Kansas Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | None | $112.20 | $112.20 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $165.96 Typical High $165.96 | Facility | None | $79.43 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $181.97 | Professional | None | $91.20 | $144.54 | $181.97 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $199.53 Typical High $1,288.25 | Facility | None | $54.95 | $199.53 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $602.56 Typical High $912.01 | Professional | None | $128.82 | $602.56 | $912.01 |
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 $91.20 Median $125.89 Typical High $186.21 | Professional | None | $91.20 | $125.89 | $186.21 |
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 $41.69 Median $63.10 Typical High $97.72 | Professional | 52 · Reduced service | $41.69 | $63.10 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.12 Typical High $38.90 | Professional | 53 · Discontinued | $16.60 | $25.12 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $19.05 Typical High $28.84 | Professional | 55 · Aftercare only | $12.30 | $19.05 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.59 Typical High $19.50 | Professional | 56 · Pre-op care only | $8.32 | $12.59 | $19.50 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 12th of 51
$151
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.