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 $44.67 Median $69.18 Typical High $144.54 | Facility | None | $44.67 | $69.18 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $109.65 | Professional | None | $54.95 | $69.18 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $112.20 | Professional | None | $58.88 | $81.28 | $112.20 |
BCBS Kansas Setting Facility Modifier None Typical Low $128.82 Median $134.90 Typical High $134.90 | Facility | None | $128.82 | $134.90 | $134.90 |
BCBS Kansas Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $173.78 | Professional | None | $100.00 | $131.83 | $173.78 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $134.90 Typical High $134.90 | Facility | None | $74.13 | $134.90 | $134.90 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $616.60 | Professional | None | $97.72 | $117.49 | $616.60 |
United Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $162.18 | Professional | None | $83.18 | $109.65 | $162.18 |
3 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 $34.67 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $10.47 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.92 | $7.94 | $8.13 |
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· 23rd of 51
$110
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.