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 $83.18 Median $83.18 Typical High $141.25 | Facility | None | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $87.10 | Professional | None | $67.61 | $83.18 | $87.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13 | Facility | None | $85.11 | $89.13 | $89.13 |
BCBS Kansas Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $134.90 | Facility | None | $75.86 | $85.11 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $74.13 Typical High $74.13 | Professional | None | $38.02 | $74.13 | $74.13 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $79.43 Typical High $83.18 | Facility | None | $61.66 | $79.43 | $83.18 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $79.43 | Professional | None | $70.79 | $77.62 | $79.43 |
United Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $79.43 | Professional | None | $70.79 | $77.62 | $79.43 |
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 $33.88 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $13.49 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.30 Typical High $13.18 | Professional | 55 · Aftercare only | $10.00 | $12.30 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.32 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.76 | $8.32 | $8.71 |
Where Kansas sits
The same service costs 6.5 times more in Arizona than in Hawaii. 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
$83.18
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.