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 $69.18 Median $93.33 Typical High $100.00 | Facility | None | $69.18 | $93.33 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $100.00 | Professional | None | $44.67 | $69.18 | $100.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
BCBS Kansas Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $85.11 | Professional | None | $60.26 | $60.26 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $93.33 | Facility | None | $46.77 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $97.72 | Professional | None | $47.86 | $77.62 | $97.72 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $177.83 Typical High $1,288.25 | Facility | None | $54.95 | $177.83 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $331.13 Typical High $489.78 | Professional | None | $69.18 | $331.13 | $489.78 |
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 $50.12 Median $67.61 Typical High $95.50 | Professional | None | $50.12 | $67.61 | $95.50 |
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 $22.39 Median $34.67 Typical High $50.12 | Professional | 52 · Reduced service | $22.39 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $13.80 Typical High $20.42 | Professional | 53 · Discontinued | $8.91 | $13.80 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.23 Typical High $15.14 | Professional | 55 · Aftercare only | $6.76 | $10.23 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.92 Typical High $10.00 | Professional | 56 · Pre-op care only | $4.47 | $6.92 | $10.00 |
Where Kansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 22nd of 51
$72.44
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.