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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $141.25 Typical High $141.25 | Professional | None | $66.07 | $141.25 | $141.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Facility | None | $100.00 | $104.71 | $104.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $512.86 | Facility | None | $57.54 | $93.33 | $512.86 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $537.03 | Professional | None | $36.31 | $61.66 | $537.03 |
United Setting Professional Modifier None Typical Low $31.62 Median $53.70 Typical High $69.18 | Professional | None | $31.62 | $53.70 | $69.18 |
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 $33.11 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $33.11 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $13.18 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $20.89 Typical High $21.38 | Professional | 55 · Aftercare only | $10.00 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.61 | $14.13 | $14.13 |
Where Kansas sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 7th of 51
$105
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.