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 $38.02 Median $70.79 Typical High $83.18 | Facility | None | $38.02 | $70.79 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $93.33 | Professional | None | $33.88 | $60.26 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $28.84 Typical High $43.65 | Professional | 52 · Reduced service | $16.98 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $11.48 Typical High $17.38 | Professional | 53 · Discontinued | $6.76 | $11.48 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $8.71 Typical High $13.18 | Professional | 55 · Aftercare only | $5.01 | $8.71 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $5.75 Typical High $8.71 | Professional | 56 · Pre-op care only | $3.39 | $5.75 | $8.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $134.90 | Professional | None | $67.61 | $67.61 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $97.72 Typical High $134.90 | Professional | None | $46.77 | $97.72 | $134.90 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $141.25 | Facility | None | $54.95 | $83.18 | $141.25 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $645.65 | Professional | None | $85.11 | $107.15 | $645.65 |
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 $47.86 Typical High $102.33 | Professional | None | $32.36 | $47.86 | $102.33 |
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 2.5 times more in Alaska than in Washington, DC. 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
$85.11
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.