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 $15.49 Median $24.55 Typical High $30.90 | Facility | None | $15.49 | $24.55 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $30.90 | Professional | None | $11.75 | $17.78 | $30.90 |
BCBS Kansas Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $275.42 | Facility | None | $177.83 | $263.03 | $275.42 |
BCBS Kansas Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $29.51 | Professional | None | $15.85 | $15.85 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $10.23 Typical High $26.92 | Facility | None | $7.94 | $10.23 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $28.84 | Professional | None | $10.23 | $18.20 | $28.84 |
Medica Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $33.11 | Facility | None | $13.80 | $24.55 | $33.11 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $169.82 | Professional | None | $18.62 | $26.30 | $169.82 |
United Setting Professional Modifier None Typical Low $10.00 Median $19.50 Typical High $26.92 | Professional | None | $10.00 | $19.50 | $26.92 |
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 $5.89 Median $8.91 Typical High $15.49 | Professional | 52 · Reduced service | $5.89 | $8.91 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.55 Typical High $6.17 | Professional | 53 · Discontinued | $2.34 | $3.55 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $2.63 Typical High $4.57 | Professional | 55 · Aftercare only | $1.78 | $2.63 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.78 Typical High $3.09 | Professional | 56 · Pre-op care only | $1.17 | $1.78 | $3.09 |
Where Kansas sits
The same service costs 3.1 times more in Wisconsin than in Louisiana. 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· 6th of 51
$26.92
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.