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 $954.99 Median $3,162.28 Typical High $7,943.28 | Facility | None | $954.99 | $3,162.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $38.02 Typical High $38.02 | Professional | None | $17.38 | $38.02 | $38.02 |
BCBS Kansas Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $61.66 | Facility | None | $58.88 | $61.66 | $61.66 |
BCBS Kansas Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $114.82 Typical High $151.36 | Facility | None | $45.71 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | None | $19.95 | $28.18 | $28.18 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $38.02 Typical High $85.11 | Facility | None | $18.20 | $38.02 | $85.11 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $33.11 | Professional | None | $20.89 | $24.55 | $33.11 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $87.10 | Facility | None | $54.95 | $54.95 | $87.10 |
United Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $40.74 | Professional | None | $20.42 | $24.55 | $40.74 |
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 $8.71 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $8.71 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $3.55 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $2.63 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $3.80 Typical High $3.80 | Professional | 56 · Pre-op care only | $1.74 | $3.80 | $3.80 |
Where Kansas sits
The same service costs 40.7 times more in Tennessee than in New York. 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· 7th of 51
$58.88
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.