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 $33.11 Median $35.48 Typical High $40.74 | Facility | None | $33.11 | $35.48 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $40.74 | Professional | None | $29.51 | $35.48 | $40.74 |
BCBS Kansas Setting Facility Modifier None Typical Low $34.67 Median $36.31 Typical High $36.31 | Facility | None | $34.67 | $36.31 | $36.31 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $87.10 Typical High $117.49 | Facility | None | $30.20 | $87.10 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $39.81 | Facility | None | $28.18 | $33.88 | $39.81 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | None | $28.84 | $28.84 | $33.88 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $35.48 | Professional | None | $28.84 | $28.84 | $35.48 |
5 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 $14.79 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $14.79 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.24 Typical High $8.13 | Professional | 53 · Discontinued | $5.89 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $26.92 Typical High $30.20 | Professional | 54 · Surgery only | $22.39 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.37 Typical High $6.03 | Professional | 55 · Aftercare only | $4.47 | $5.37 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.63 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.95 | $3.63 | $4.07 |
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· 8th of 51
$34.67
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.