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 $51.29 Median $52.48 Typical High $57.54 | Facility | None | $51.29 | $52.48 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $57.54 | Professional | None | $41.69 | $52.48 | $57.54 |
BCBS Kansas Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Facility | None | $60.26 | $63.10 | $63.10 |
BCBS Kansas Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $123.03 Typical High $162.18 | Facility | None | $42.66 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $47.86 | Facility | None | $25.12 | $45.71 | $47.86 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $54.95 | Professional | None | $33.88 | $33.88 | $54.95 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | None | $44.67 | $44.67 | $58.88 |
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 $20.89 Median $26.30 Typical High $28.18 | Professional | 52 · Reduced service | $20.89 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.47 Typical High $11.48 | Professional | 53 · Discontinued | $8.32 | $10.47 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.94 Typical High $8.51 | Professional | 55 · Aftercare only | $6.31 | $7.94 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.25 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.17 | $5.25 | $5.75 |
Where Kansas sits
The same service costs 1.8 times more in Arizona than in Georgia. 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· 4th of 51
$57.54
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.