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 $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $125.89 | Professional | None | $67.61 | $81.28 | $125.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $446.68 | Facility | None | $323.59 | $323.59 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | None | $75.86 | $102.33 | $151.36 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $302.00 Typical High $1,288.25 | Facility | None | $54.95 | $302.00 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $660.69 | Professional | None | $72.44 | $87.10 | $660.69 |
United Setting Facility Modifier None Typical Low $125.89 Median $407.38 Typical High $1,778.28 | Facility | None | $125.89 | $407.38 | $1,778.28 |
United Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $134.90 | Professional | None | $72.44 | $81.28 | $134.90 |
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 $33.88 Median $40.74 Typical High $63.10 | Professional | 52 · Reduced service | $33.88 | $40.74 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $25.12 | Professional | 53 · Discontinued | $13.49 | $16.22 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $19.05 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.13 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.76 | $8.13 | $12.59 |
Where Kansas sits
The same service costs 4.5 times more in Wisconsin than in Kentucky. 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· 26th of 51
$107
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.