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 $69.18 Median $69.18 Typical High $181.97 | Facility | None | $69.18 | $69.18 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $107.15 | Professional | None | $75.86 | $104.71 | $107.15 |
BCBS Kansas Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Facility | None | $109.65 | $114.82 | $114.82 |
BCBS Kansas Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $173.78 | Facility | None | $97.72 | $109.65 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $125.89 | Facility | None | $61.66 | $61.66 | $125.89 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $131.83 | Professional | None | $89.13 | $97.72 | $131.83 |
United Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $131.83 | Professional | None | $91.20 | $100.00 | $131.83 |
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 $38.02 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $38.02 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $15.14 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.49 Typical High $16.22 | Professional | 55 · Aftercare only | $11.48 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.59 | $10.47 | $10.72 |
Where Kansas sits
The same service costs 1.7 times more in Texas than in Arkansas. 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· 12th of 51
$110
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.