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 $37.15 Median $43.65 Typical High $54.95 | Facility | None | $37.15 | $43.65 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $43.65 | Professional | None | $32.36 | $43.65 | $43.65 |
BCBS Kansas Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $38.90 | Facility | None | $37.15 | $38.90 | $38.90 |
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 $33.11 Median $109.65 Typical High $125.89 | Facility | None | $33.11 | $109.65 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $40.74 Typical High $43.65 | Facility | None | $30.90 | $40.74 | $43.65 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | None | $31.62 | $31.62 | $44.67 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $45.71 | Professional | None | $31.62 | $31.62 | $45.71 |
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 $16.22 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $16.22 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $6.46 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $4.79 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.24 | $4.37 | $4.37 |
Where Kansas sits
The same service costs 2.0 times more in Alaska 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· 8th of 51
$37.15
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.