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 $63.10 Median $89.13 Typical High $147.91 | Facility | None | $63.10 | $89.13 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $102.33 | Professional | None | $58.88 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $35.48 Typical High $48.98 | Professional | 52 · Reduced service | $29.51 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.72 Typical High $14.79 | Professional | 55 · Aftercare only | $8.71 | $10.72 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.08 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.89 | $7.08 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $109.65 | Professional | None | $87.10 | $104.71 | $109.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | None | $81.28 | $95.50 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $144.54 | Professional | None | $70.79 | $100.00 | $144.54 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $128.82 | Facility | None | $74.13 | $102.33 | $128.82 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $426.58 Typical High $616.60 | Professional | None | $97.72 | $426.58 | $616.60 |
United Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $114.82 | Professional | None | $61.66 | $87.10 | $114.82 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $63.10 Median $95.50 Typical High $107.15 | Professional | 25 · Same-day visit | $63.10 | $95.50 | $107.15 |
Where Kansas sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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· 19th of 51
$100
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.