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 $229.09 Median $229.09 Typical High $407.38 | Facility | None | $229.09 | $229.09 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $251.19 | Professional | None | $194.98 | $239.88 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
BCBS Kansas Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $251.19 | Facility | None | $234.42 | $251.19 | $251.19 |
BCBS Kansas Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $389.05 | Facility | None | $218.78 | $245.47 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $229.09 | Facility | None | $162.18 | $208.93 | $229.09 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $218.78 | Professional | None | $194.98 | $213.80 | $218.78 |
United Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | None | $204.17 | $223.87 | $229.09 |
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 $97.72 Median $120.23 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $50.12 | Professional | 53 · Discontinued | $38.90 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $36.31 Typical High $38.02 | Professional | 55 · Aftercare only | $29.51 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $23.99 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.50 | $23.99 | $25.12 |
Where Kansas sits
The same service costs 549.5 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
$234
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.