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 $102.33 Median $102.33 Typical High $234.42 | Facility | None | $102.33 | $102.33 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $234.42 | Professional | None | $102.33 | $194.98 | $234.42 |
BCBS Kansas Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Facility | None | $95.50 | $100.00 | $100.00 |
BCBS Kansas Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $501.19 Typical High $676.08 | Facility | None | $173.78 | $501.19 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $102.33 | Facility | None | $75.86 | $102.33 | $102.33 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $120.23 | Professional | None | $75.86 | $75.86 | $120.23 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | None | $91.20 | $91.20 | $154.88 |
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 $51.29 Median $95.50 Typical High $117.49 | Professional | 52 · Reduced service | $51.29 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $20.42 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $28.84 Typical High $35.48 | Professional | 55 · Aftercare only | $15.14 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $19.50 Typical High $23.44 | Professional | 56 · Pre-op care only | $10.23 | $19.50 | $23.44 |
Where Kansas sits
The same service costs 3.2 times more in Wyoming than in Oklahoma. 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· 39th of 51
$100
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.