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 $190.55 Median $239.88 Typical High $281.84 | Facility | None | $190.55 | $239.88 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $239.88 | Professional | None | $165.96 | $223.87 | $239.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $190.55 Median $199.53 Typical High $199.53 | Facility | None | $190.55 | $199.53 | $199.53 |
BCBS Kansas Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $478.63 Typical High $645.65 | Facility | None | $169.82 | $478.63 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $218.78 Typical High $218.78 | Facility | None | $169.82 | $218.78 | $218.78 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | None | $169.82 | $169.82 | $229.09 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | None | $162.18 | $162.18 | $234.42 |
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 $83.18 Median $112.20 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $33.88 Typical High $36.31 | Professional | 55 · Aftercare only | $24.55 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $22.39 Typical High $23.99 | Professional | 56 · Pre-op care only | $16.60 | $22.39 | $23.99 |
Where Kansas sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 9th of 51
$191
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.