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 $218.78 Median $218.78 Typical High $389.05 | Facility | None | $218.78 | $218.78 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None | $194.98 | $239.88 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $229.09 Median $239.88 Typical High $239.88 | Facility | None | $229.09 | $239.88 | $239.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $380.19 | Facility | None | $213.80 | $245.47 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $213.80 | Professional | None | $177.83 | $213.80 | $213.80 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $190.55 Typical High $269.15 | Facility | None | $181.97 | $190.55 | $269.15 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $213.80 | Professional | None | $190.55 | $208.93 | $213.80 |
United Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | None | $204.17 | $223.87 | $229.09 |
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 $95.50 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $35.48 Typical High $36.31 | Professional | 55 · Aftercare only | $28.84 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $19.50 | $23.99 | $23.99 |
Where Kansas sits
The same service costs 8.3 times more in Arizona than in Alabama. 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· 4th of 51
$229
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.