How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $181.97 Median $181.97 Typical High $190.55 | Facility | None | $181.97 | $181.97 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $190.55 | Professional | None | $87.10 | $109.65 | $190.55 |
BCBS Kansas Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $162.18 Typical High $218.78 | Professional | None | $93.33 | $162.18 | $218.78 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $199.53 | Facility | None | $104.71 | $123.03 | $199.53 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $223.87 Typical High $933.25 | Professional | None | $102.33 | $223.87 | $933.25 |
United Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $154.88 | Professional | None | $93.33 | $114.82 | $154.88 |
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 $43.65 Median $54.95 Typical High $95.50 | Professional | 52 · Reduced service | $43.65 | $54.95 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $38.02 | Professional | 53 · Discontinued | $17.38 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $16.60 Typical High $28.18 | Professional | 55 · Aftercare only | $13.18 | $16.60 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.96 Typical High $19.05 | Professional | 56 · Pre-op care only | $8.71 | $10.96 | $19.05 |
Where Kansas sits
The same service costs 3.1 times more in Alaska than in Florida. 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· 12th of 51
$135
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.