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 $213.80 Median $316.23 Typical High $380.19 | Facility | None | $213.80 | $316.23 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $213.80 | Professional | None | $181.97 | $204.17 | $213.80 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
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 $181.97 Median $263.03 Typical High $331.13 | Professional | None | $181.97 | $263.03 | $331.13 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $316.23 | Facility | None | $218.78 | $218.78 | $316.23 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $389.05 Typical High $1,122.02 | Professional | None | $186.21 | $389.05 | $1,122.02 |
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 $177.83 Median $190.55 Typical High $269.15 | Professional | None | $177.83 | $190.55 | $269.15 |
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 $91.20 Median $102.33 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 53 · Discontinued | $36.31 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.90 Typical High $32.36 | Professional | 55 · Aftercare only | $27.54 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.20 | $20.42 | $21.38 |
Where Kansas sits
The same service costs 2.9 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· 27th of 51
$214
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.