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 $19.95 Median $19.95 Typical High $24.55 | Facility | None | $19.95 | $19.95 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $25.70 | Professional | None | $17.78 | $21.38 | $25.70 |
BCBS Kansas Setting Facility Modifier None Typical Low $48.98 Median $51.29 Typical High $77.62 | Facility | None | $48.98 | $51.29 | $77.62 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $21.88 Typical High $46.77 | Facility | None | $19.05 | $21.88 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $22.39 Typical High $45.71 | Professional | None | $11.48 | $22.39 | $45.71 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $97.72 | Facility | None | $20.89 | $27.54 | $97.72 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $138.04 Typical High $165.96 | Professional | None | $27.54 | $138.04 | $165.96 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $97.72 | Facility | None | $61.66 | $61.66 | $97.72 |
United Setting Professional Modifier None Typical Low $16.98 Median $27.54 Typical High $38.90 | Professional | None | $16.98 | $27.54 | $38.90 |
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 $8.91 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $8.91 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $3.55 | $4.27 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $3.24 Typical High $3.89 | Professional | 55 · Aftercare only | $2.69 | $3.24 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.14 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.78 | $2.14 | $2.57 |
Where Kansas sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 2nd of 51
$51.29
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.