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 $81.28 Median $81.28 Typical High $138.04 | Facility | None | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $85.11 | Professional | None | $66.07 | $81.28 | $85.11 |
BCBS Kansas Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $93.33 | Facility | None | $87.10 | $93.33 | $93.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $131.83 | Facility | None | $74.13 | $83.18 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $91.20 | Facility | None | $75.86 | $77.62 | $91.20 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | None | $77.62 | $79.43 | $87.10 |
United Setting Professional Modifier None Typical Low $77.62 Median $79.43 Typical High $87.10 | Professional | None | $77.62 | $79.43 | $87.10 |
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 $33.11 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $33.11 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $13.18 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.30 Typical High $12.88 | Professional | 55 · Aftercare only | $10.00 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.13 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.61 | $8.13 | $8.51 |
Where Kansas sits
The same service costs 2.8 times more in Arizona 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· 4th of 51
$87.10
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.