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 $67.61 Median $93.33 Typical High $138.04 | Facility | None | $67.61 | $93.33 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $138.04 | Professional | None | $44.67 | $67.61 | $138.04 |
BCBS Kansas Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $109.65 | Professional | None | $60.26 | $60.26 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $100.00 | Facility | None | $69.18 | $93.33 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $91.20 Typical High $128.82 | Professional | None | $47.86 | $91.20 | $128.82 |
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 $85.11 Median $338.84 Typical High $645.65 | Professional | None | $85.11 | $338.84 | $645.65 |
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 $48.98 Median $81.28 Typical High $112.20 | Professional | None | $48.98 | $81.28 | $112.20 |
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 $21.88 Median $33.88 Typical High $69.18 | Professional | 52 · Reduced service | $21.88 | $33.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $13.49 Typical High $27.54 | Professional | 53 · Discontinued | $8.91 | $13.49 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $10.23 Typical High $20.42 | Professional | 55 · Aftercare only | $6.61 | $10.23 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.76 Typical High $13.80 | Professional | 56 · Pre-op care only | $4.47 | $6.76 | $13.80 |
Where Kansas sits
The same service costs 3.9 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· 14th of 51
$95.50
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.