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 $489.78 Median $2,754.23 Typical High $7,943.28 | Facility | None | $489.78 | $2,754.23 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $186.21 | Professional | None | $75.86 | $117.49 | $186.21 |
BCBS Kansas Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $177.83 | Professional | None | $81.28 | $120.23 | $177.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $5,623.41 | Facility | None | $54.95 | $1,000.00 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $537.03 Typical High $831.76 | Professional | None | $114.82 | $537.03 | $831.76 |
United Setting Facility Modifier None Typical Low $912.01 Median $3,090.30 Typical High $5,754.40 | Facility | None | $912.01 | $3,090.30 | $5,754.40 |
United Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $181.97 | Professional | None | $75.86 | $114.82 | $181.97 |
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 $37.15 Median $58.88 Typical High $93.33 | Professional | 52 · Reduced service | $37.15 | $58.88 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $23.44 Typical High $37.15 | Professional | 53 · Discontinued | $15.14 | $23.44 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $17.38 Typical High $28.18 | Professional | 55 · Aftercare only | $11.22 | $17.38 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $11.75 Typical High $18.62 | Professional | 56 · Pre-op care only | $7.59 | $11.75 | $18.62 |
Where Kansas sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 33rd of 51
$141
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.