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 $33.11 Median $33.11 Typical High $63.10 | Facility | None | $33.11 | $33.11 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $60.26 | Professional | None | $33.11 | $48.98 | $60.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Facility | None | $66.07 | $69.18 | $69.18 |
BCBS Kansas Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $128.82 Typical High $169.82 | Facility | None | $44.67 | $128.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $79.43 | Facility | None | $33.11 | $33.11 | $79.43 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | None | $53.70 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | None | $54.95 | $54.95 | $67.61 |
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 $16.60 Median $24.55 Typical High $29.51 | Professional | 52 · Reduced service | $16.60 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $9.77 Typical High $12.02 | Professional | 53 · Discontinued | $6.61 | $9.77 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $7.41 Typical High $8.91 | Professional | 55 · Aftercare only | $5.01 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.90 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.31 | $4.90 | $6.03 |
Where Kansas sits
The same service costs 2.0 times more in Alaska than in Wyoming. 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
$66.07
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.