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 $37.15 Median $52.48 Typical High $79.43 | Facility | None | $37.15 | $52.48 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $79.43 | Professional | None | $25.12 | $44.67 | $79.43 |
BCBS Kansas Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | None | $39.81 | $39.81 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Facility | None | $41.69 | $41.69 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $97.72 | Professional | None | $26.92 | $52.48 | $97.72 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $162.18 Typical High $1,318.26 | Facility | None | $51.29 | $162.18 | $1,318.26 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $112.20 Typical High $426.58 | Professional | None | $57.54 | $112.20 | $426.58 |
United Setting Facility Modifier None Typical Low $114.82 Median $398.11 Typical High $1,778.28 | Facility | None | $114.82 | $398.11 | $1,778.28 |
United Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $79.43 | Professional | None | $30.20 | $53.70 | $79.43 |
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 $12.59 Median $22.39 Typical High $39.81 | Professional | 52 · Reduced service | $12.59 | $22.39 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $8.91 Typical High $16.22 | Professional | 53 · Discontinued | $5.01 | $8.91 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $6.61 Typical High $12.02 | Professional | 55 · Aftercare only | $3.72 | $6.61 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $4.47 Typical High $7.94 | Professional | 56 · Pre-op care only | $2.51 | $4.47 | $7.94 |
Where Kansas sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 17th of 51
$61.66
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.