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 $52.48 Median $52.48 Typical High $89.13 | Facility | None | $52.48 | $52.48 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | None | $42.66 | $52.48 | $52.48 |
BCBS Kansas Setting Facility Modifier None Typical Low $57.54 Median $60.26 Typical High $60.26 | Facility | None | $57.54 | $60.26 | $60.26 |
BCBS Kansas Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $54.95 Typical High $64.57 | Facility | None | $47.86 | $54.95 | $64.57 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $58.88 | Professional | None | $50.12 | $53.70 | $58.88 |
United Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $58.88 | Professional | None | $50.12 | $53.70 | $58.88 |
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 $21.38 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $21.38 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.51 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $6.46 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.27 | $5.25 | $5.25 |
Where Kansas sits
The same service costs 2.0 times more in Oregon 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· 8th of 51
$57.54
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.