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 $39.81 Median $75.86 Typical High $75.86 | Facility | None | $39.81 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $42.66 Typical High $75.86 | Professional | None | $31.62 | $42.66 | $75.86 |
BCBS Kansas Setting Facility Modifier None Typical Low $38.90 Median $41.69 Typical High $41.69 | Facility | None | $38.90 | $41.69 | $41.69 |
BCBS Kansas Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $134.90 Typical High $154.88 | Facility | None | $39.81 | $134.90 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $75.86 Typical High $75.86 | Facility | None | $30.90 | $75.86 | $75.86 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $67.61 | Professional | None | $39.81 | $39.81 | $67.61 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $66.07 | Professional | None | $33.88 | $33.88 | $66.07 |
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 $15.85 Median $21.38 Typical High $38.02 | Professional | 52 · Reduced service | $15.85 | $21.38 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.51 Typical High $15.14 | Professional | 53 · Discontinued | $6.31 | $8.51 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $6.46 Typical High $11.22 | Professional | 55 · Aftercare only | $4.68 | $6.46 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $4.27 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.16 | $4.27 | $7.59 |
Where Kansas sits
The same service costs 2.3 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· 10th of 51
$39.81
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.