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 $69.18 Median $87.10 Typical High $87.10 | Facility | None | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $87.10 | Professional | None | $61.66 | $83.18 | $87.10 |
BCBS Kansas Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $72.44 | Facility | None | $69.18 | $72.44 | $72.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $177.83 Typical High $239.88 | Facility | None | $61.66 | $177.83 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $77.62 | Facility | None | $60.26 | $75.86 | $77.62 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | None | $60.26 | $60.26 | $81.28 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $85.11 | Professional | None | $60.26 | $60.26 | $85.11 |
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 $30.20 Median $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $30.20 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $12.30 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.30 Typical High $12.88 | Professional | 55 · Aftercare only | $9.12 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.32 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.17 | $8.32 | $8.71 |
Where Kansas sits
The same service costs 1.9 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· 11th of 51
$69.18
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.