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 $117.49 Median $162.18 Typical High $165.96 | Facility | None | $117.49 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $165.96 | Professional | None | $77.62 | $117.49 | $165.96 |
BCBS Kansas Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $125.89 | Professional | None | $97.72 | $97.72 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $165.96 Typical High $165.96 | Facility | None | $66.07 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $154.88 | Professional | None | $85.11 | $128.82 | $154.88 |
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 $109.65 Median $562.34 Typical High $794.33 | Professional | None | $109.65 | $562.34 | $794.33 |
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 $85.11 Median $107.15 Typical High $162.18 | Professional | None | $85.11 | $107.15 | $162.18 |
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 $38.90 Median $58.88 Typical High $83.18 | Professional | 52 · Reduced service | $38.90 | $58.88 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $23.44 Typical High $33.88 | Professional | 53 · Discontinued | $15.49 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $17.78 Typical High $25.12 | Professional | 55 · Aftercare only | $11.48 | $17.78 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $11.75 Typical High $16.60 | Professional | 56 · Pre-op care only | $7.76 | $11.75 | $16.60 |
Where Kansas sits
The same service costs 3.8 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
$123
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.