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 $56.23 Median $288.40 Typical High $288.40 | Facility | None | $56.23 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $288.40 | Professional | None | $41.69 | $56.23 | $288.40 |
BCBS Kansas Setting Facility Modifier None Typical Low $97.72 Median $104.71 Typical High $104.71 | Facility | None | $97.72 | $104.71 | $104.71 |
BCBS Kansas Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $177.83 Typical High $204.17 | Facility | None | $52.48 | $177.83 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $281.84 Typical High $288.40 | Facility | None | $32.36 | $281.84 | $288.40 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $81.28 | Professional | None | $32.36 | $33.88 | $81.28 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $123.03 | Professional | None | $50.12 | $50.12 | $123.03 |
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 $20.89 Median $28.18 Typical High $144.54 | Professional | 52 · Reduced service | $20.89 | $28.18 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.22 Typical High $57.54 | Professional | 53 · Discontinued | $8.32 | $11.22 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.51 Typical High $43.65 | Professional | 55 · Aftercare only | $6.17 | $8.51 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.62 Typical High $28.84 | Professional | 56 · Pre-op care only | $4.17 | $5.62 | $28.84 |
Where Kansas sits
The same service costs 3.9 times more in Wyoming than in Georgia. 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· 3rd 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.