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 $141.25 Median $141.25 Typical High $251.19 | Facility | None | $141.25 | $141.25 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $154.88 | Professional | None | $120.23 | $147.91 | $154.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $144.54 Median $151.36 Typical High $151.36 | Facility | None | $144.54 | $151.36 | $151.36 |
BCBS Kansas Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $158.49 Typical High $251.19 | Facility | None | $141.25 | $158.49 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $138.04 Typical High $138.04 | Professional | None | $47.86 | $138.04 | $138.04 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $134.90 | Facility | None | $85.11 | $128.82 | $134.90 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $141.25 | Professional | None | $120.23 | $131.83 | $141.25 |
United Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $141.25 | Professional | None | $125.89 | $138.04 | $141.25 |
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 $60.26 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $60.26 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $30.90 | Professional | 53 · Discontinued | $23.99 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $21.88 Typical High $23.44 | Professional | 55 · Aftercare only | $17.78 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.79 Typical High $15.49 | Professional | 56 · Pre-op care only | $12.02 | $14.79 | $15.49 |
Where Kansas sits
The same service costs 5.1 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· 3rd of 51
$145
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.