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 $16.22 Median $25.70 Typical High $34.67 | Facility | None | $16.22 | $25.70 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $25.70 Typical High $31.62 | Professional | None | $16.22 | $25.70 | $31.62 |
BCBS Kansas Setting Facility Modifier None Typical Low $25.70 Median $26.92 Typical High $26.92 | Facility | None | $25.70 | $26.92 | $26.92 |
BCBS Kansas Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $67.61 Typical High $91.20 | Facility | None | $23.44 | $67.61 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $29.51 | Facility | None | $10.23 | $14.79 | $29.51 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $23.99 | Professional | None | $20.42 | $21.38 | $23.99 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | None | $22.39 | $22.39 | $25.12 |
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 $8.13 Median $12.88 Typical High $15.85 | Professional | 52 · Reduced service | $8.13 | $12.88 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $5.13 Typical High $6.31 | Professional | 53 · Discontinued | $3.24 | $5.13 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $3.89 Typical High $4.68 | Professional | 55 · Aftercare only | $2.40 | $3.89 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.57 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.62 | $2.57 | $3.16 |
Where Kansas sits
The same service costs 2.0 times more in Minnesota than in Hawaii. 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
$25.70
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.