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 $93.33 Median $158.49 Typical High $165.96 | Facility | None | $93.33 | $158.49 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | None | $79.43 | $89.13 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $131.83 | Facility | None | $125.89 | $131.83 | $131.83 |
BCBS Kansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $151.36 | Facility | None | $60.26 | $114.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $144.54 | Professional | None | $79.43 | $117.49 | $144.54 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $100.00 Typical High $112.20 | Facility | None | $85.11 | $100.00 | $112.20 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $158.49 Typical High $489.78 | Professional | None | $81.28 | $158.49 | $489.78 |
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 $77.62 Median $83.18 Typical High $123.03 | Professional | None | $77.62 | $83.18 | $123.03 |
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 $39.81 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $39.81 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $15.85 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $14.13 | Professional | 55 · Aftercare only | $11.75 | $13.49 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.91 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.94 | $8.91 | $9.33 |
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· 25th of 51
$97.72
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.