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 $64.57 Median $93.33 Typical High $93.33 | Facility | None | $64.57 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $93.33 | Professional | None | $54.95 | $74.13 | $93.33 |
BCBS Kansas Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $109.65 | Facility | None | $104.71 | $109.65 | $109.65 |
BCBS Kansas Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $158.49 Typical High $213.80 | Facility | None | $56.23 | $158.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $85.11 Typical High $134.90 | Facility | None | $47.86 | $85.11 | $134.90 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $144.54 | Professional | None | $95.50 | $97.72 | $144.54 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $93.33 | Professional | None | $54.95 | $54.95 | $93.33 |
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 $27.54 Median $37.15 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.79 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $11.22 Typical High $14.13 | Professional | 55 · Aftercare only | $8.32 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $7.41 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.50 | $7.41 | $9.33 |
Where Kansas sits
The same service costs 2.7 times more in Oklahoma than in West Virginia. 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· 2nd of 51
$97.72
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.