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 $309.03 Median $309.03 Typical High $549.54 | Facility | None | $309.03 | $309.03 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $338.84 | Professional | None | $263.03 | $323.59 | $338.84 |
BCBS Kansas Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Facility | None | $190.55 | $199.53 | $199.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $524.81 | Facility | None | $295.12 | $331.13 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $288.40 Typical High $288.40 | Professional | None | $23.99 | $288.40 | $288.40 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $309.03 | Facility | None | $169.82 | $169.82 | $309.03 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $281.84 | Professional | None | $251.19 | $275.42 | $281.84 |
United Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $309.03 | Professional | None | $275.42 | $302.00 | $309.03 |
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 $131.83 Median $162.18 Typical High $169.82 | Professional | 52 · Reduced service | $131.83 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $64.57 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $47.86 Typical High $51.29 | Professional | 55 · Aftercare only | $38.90 | $47.86 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $32.36 Typical High $33.88 | Professional | 56 · Pre-op care only | $26.30 | $32.36 | $33.88 |
Where Kansas sits
The same service costs 3.9 times more in Arizona than in Montana. 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· 47th of 51
$251
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.