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 $20.89 Median $20.89 Typical High $22.91 | Facility | None | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $20.89 | Professional | None | $10.96 | $13.18 | $20.89 |
BCBS Kansas Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
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 $12.30 Median $16.98 Typical High $100.00 | Professional | None | $12.30 | $16.98 | $100.00 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $302.00 Typical High $1,288.25 | Facility | None | $24.55 | $302.00 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $660.69 | Professional | None | $12.30 | $15.14 | $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 $12.30 Median $13.80 Typical High $22.39 | Professional | None | $12.30 | $13.80 | $22.39 |
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 $5.50 Median $6.61 Typical High $10.47 | Professional | 52 · Reduced service | $5.50 | $6.61 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.69 Typical High $4.17 | Professional | 53 · Discontinued | $2.19 | $2.69 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $2.00 Typical High $3.16 | Professional | 55 · Aftercare only | $1.66 | $2.00 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.32 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.12 | $1.32 | $2.09 |
Where Kansas sits
The same service costs 12.3 times more in Florida 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· 21st of 51
$20.89
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.