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 $97.72 Median $134.90 Typical High $181.97 | Facility | None | $97.72 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $165.96 | Professional | None | $95.50 | $120.23 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $208.93 | Professional | None | $109.65 | $165.96 | $208.93 |
BCBS Kansas Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Facility | None | $95.50 | $100.00 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $213.80 | Professional | None | $144.54 | $169.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $194.98 | Facility | None | $95.50 | $151.36 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $263.03 | Professional | None | $128.82 | $169.82 | $263.03 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $213.80 | Facility | None | $120.23 | $173.78 | $213.80 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $831.76 Typical High $1,047.13 | Professional | None | $162.18 | $831.76 | $1,047.13 |
United Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $204.17 | Professional | None | $128.82 | $158.49 | $204.17 |
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 $66.07 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $19.95 Typical High $24.55 | Professional | 55 · Aftercare only | $16.98 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $13.18 Typical High $16.60 | Professional | 56 · Pre-op care only | $11.22 | $13.18 | $16.60 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $141.25 Median $165.96 Typical High $199.53 | Professional | 25 · Same-day visit | $141.25 | $165.96 | $199.53 |
Where Kansas sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 24th of 51
$155
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.