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 $50.12 Median $54.95 Typical High $81.28 | Facility | None | $50.12 | $54.95 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $60.26 | Professional | None | $40.74 | $50.12 | $60.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $57.54 | Facility | None | $54.95 | $57.54 | $57.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $117.49 Typical High $158.49 | Facility | None | $45.71 | $117.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | None | $28.18 | $51.29 | $51.29 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $33.88 Typical High $44.67 | Facility | None | $23.99 | $33.88 | $44.67 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $51.29 | Professional | None | $44.67 | $47.86 | $51.29 |
United Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $54.95 | Professional | None | $48.98 | $51.29 | $54.95 |
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 $20.42 Median $25.12 Typical High $30.20 | Professional | 52 · Reduced service | $20.42 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $8.13 | $10.00 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.59 Typical High $9.12 | Professional | 55 · Aftercare only | $6.17 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.01 Typical High $6.03 | Professional | 56 · Pre-op care only | $4.07 | $5.01 | $6.03 |
Where Kansas sits
The same service costs 6.0 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· 3rd of 51
$54.95
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.