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 $288.40 Median $288.40 Typical High $562.34 | Facility | None | $288.40 | $288.40 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $323.59 Typical High $331.13 | Professional | None | $269.15 | $323.59 | $331.13 |
BCBS Kansas Setting Facility Modifier None Typical Low $309.03 Median $323.59 Typical High $323.59 | Facility | None | $309.03 | $323.59 | $323.59 |
BCBS Kansas Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $489.78 | Facility | None | $275.42 | $309.03 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $269.15 Typical High $323.59 | Facility | None | $251.19 | $269.15 | $323.59 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $275.42 | Professional | None | $245.47 | $269.15 | $275.42 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
United Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $288.40 | Professional | None | $257.04 | $281.84 | $288.40 |
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 $134.90 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $134.90 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $64.57 Typical High $66.07 | Professional | 53 · Discontinued | $53.70 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $48.98 Typical High $50.12 | Professional | 55 · Aftercare only | $40.74 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $32.36 Typical High $33.11 | Professional | 56 · Pre-op care only | $26.92 | $32.36 | $33.11 |
Where Kansas sits
The same service costs 2.3 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
$309
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.