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 $131.83 Median $223.87 Typical High $234.42 | Facility | None | $131.83 | $223.87 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $131.83 | Professional | None | $112.20 | $125.89 | $131.83 |
BCBS Kansas Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $123.03 | Facility | None | $114.82 | $123.03 | $123.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $812.83 Typical High $1,096.48 | Facility | None | $426.58 | $812.83 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $204.17 | Professional | None | $107.15 | $162.18 | $204.17 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $3,162.28 | Professional | None | $107.15 | $223.87 | $3,162.28 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $616.60 | Facility | None | $389.05 | $389.05 | $616.60 |
United Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $162.18 | Professional | None | $104.71 | $109.65 | $162.18 |
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 $56.23 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $56.23 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $25.12 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $19.05 Typical High $19.95 | Professional | 55 · Aftercare only | $16.60 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $12.59 Typical High $13.18 | Professional | 56 · Pre-op care only | $11.22 | $12.59 | $13.18 |
Where Kansas sits
The same service costs 3.0 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· 29th of 51
$126
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.