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 $269.15 Median $398.11 Typical High $575.44 | Facility | None | $269.15 | $398.11 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $436.52 | Professional | None | $338.84 | $416.87 | $436.52 |
BCBS Kansas Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $436.52 | Facility | None | $416.87 | $436.52 | $436.52 |
BCBS Kansas Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $660.69 | Facility | None | $371.54 | $426.58 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $389.05 | Facility | None | $316.23 | $346.74 | $389.05 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $371.54 | Professional | None | $331.13 | $363.08 | $371.54 |
United Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $398.11 | Professional | None | $354.81 | $389.05 | $398.11 |
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 $165.96 Median $204.17 Typical High $218.78 | Professional | 52 · Reduced service | $165.96 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $67.61 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $50.12 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $43.65 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $43.65 |
Where Kansas sits
The same service costs 3.0 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· 2nd of 51
$417
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.