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 $107.15 Median $190.55 Typical High $190.55 | Facility | None | $107.15 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $190.55 | Professional | None | $89.13 | $123.03 | $190.55 |
BCBS Kansas Setting Facility Modifier None Typical Low $138.04 Median $144.54 Typical High $144.54 | Facility | None | $138.04 | $144.54 | $144.54 |
BCBS Kansas Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $263.03 Typical High $354.81 | Facility | None | $91.20 | $263.03 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $165.96 | Facility | None | $102.33 | $165.96 | $165.96 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $162.18 | Professional | None | $102.33 | $102.33 | $162.18 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | None | $93.33 | $93.33 | $158.49 |
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 $44.67 Median $61.66 Typical High $95.50 | Professional | 52 · Reduced service | $44.67 | $61.66 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $24.55 Typical High $38.02 | Professional | 53 · Discontinued | $18.20 | $24.55 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $18.20 Typical High $28.84 | Professional | 55 · Aftercare only | $13.49 | $18.20 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $12.30 Typical High $19.05 | Professional | 56 · Pre-op care only | $8.91 | $12.30 | $19.05 |
Where Kansas sits
The same service costs 5.9 times more in Alabama than in Florida. 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· 8th of 51
$138
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.