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 $46.77 Median $58.88 Typical High $58.88 | Facility | None | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
BCBS Kansas Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Facility | None | $56.23 | $58.88 | $58.88 |
BCBS Kansas Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $89.13 | Facility | None | $50.12 | $57.54 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $58.88 Typical High $69.18 | Facility | None | $38.90 | $58.88 | $69.18 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $58.88 | Professional | None | $48.98 | $48.98 | $58.88 |
United Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
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 $23.44 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $23.44 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.75 Typical High $11.75 | Professional | 53 · Discontinued | $9.33 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $7.08 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.68 | $5.89 | $5.89 |
Where Kansas sits
The same service costs 1.7 times more in Alaska than in Montana. 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
$56.23
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.