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 $38.02 Median $38.02 Typical High $67.61 | Facility | None | $38.02 | $38.02 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $41.69 | Professional | None | $32.36 | $39.81 | $41.69 |
BCBS Kansas Setting Facility Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Facility | None | $41.69 | $43.65 | $43.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $63.10 | Facility | None | $35.48 | $40.74 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | None | $32.36 | $35.48 | $35.48 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $46.77 | Facility | None | $31.62 | $35.48 | $46.77 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $36.31 | Professional | None | $32.36 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $38.02 | Professional | None | $33.11 | $36.31 | $38.02 |
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 $16.22 Median $19.95 Typical High $20.89 | Professional | 52 · Reduced service | $16.22 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $6.46 | $7.94 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.03 Typical High $6.17 | Professional | 55 · Aftercare only | $4.79 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.98 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.24 | $3.98 | $4.17 |
Where Kansas sits
The same service costs 97.7 times more in Arizona than in Rhode Island. 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
$40.74
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.