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 $707.95 Median $758.58 Typical High $891.25 | Facility | None | $707.95 | $758.58 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $891.25 | Professional | None | $707.95 | $758.58 | $891.25 |
BCBS Kansas Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $870.96 | Facility | None | $812.83 | $870.96 | $870.96 |
BCBS Kansas Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,380.38 | Facility | None | $776.25 | $870.96 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $851.14 | Facility | None | $426.58 | $524.81 | $851.14 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $724.44 | Professional | None | $588.84 | $707.95 | $724.44 |
United Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
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 $354.81 Median $380.19 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $114.82 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $75.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $70.79 | $75.86 | $89.13 |
Where Kansas sits
The same service costs 9.8 times more in Alaska than in Alabama. 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· 4th of 51
$813
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.