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 $53.70 Median $100.00 Typical High $104.71 | Facility | None | $53.70 | $100.00 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $107.15 | Professional | None | $47.86 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $40.74 Typical High $52.48 | Professional | 52 · Reduced service | $23.99 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $16.22 Typical High $20.89 | Professional | 53 · Discontinued | $9.55 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $12.02 Typical High $15.85 | Professional | 55 · Aftercare only | $7.24 | $12.02 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $8.13 Typical High $10.47 | Professional | 56 · Pre-op care only | $4.79 | $8.13 | $10.47 |
BCBS Kansas Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $162.18 | Professional | None | $91.20 | $91.20 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $120.23 Typical High $169.82 | Professional | None | $64.57 | $120.23 | $169.82 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $151.36 | Facility | None | $74.13 | $102.33 | $151.36 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $776.25 | Professional | None | $104.71 | $128.82 | $776.25 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $245.47 | Facility | None | $154.88 | $154.88 | $245.47 |
United Setting Professional Modifier None Typical Low $32.36 Median $67.61 Typical High $128.82 | Professional | None | $32.36 | $67.61 | $128.82 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Kansas sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 10th of 51
$105
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.