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 $85.11 Median $97.72 Typical High $100.00 | Facility | None | $85.11 | $97.72 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $100.00 | Professional | None | $72.44 | $97.72 | $100.00 |
BCBS Kansas Setting Facility Modifier None Typical Low $97.72 Median $102.33 Typical High $102.33 | Facility | None | $97.72 | $102.33 | $102.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $213.80 Typical High $288.40 | Facility | None | $74.13 | $213.80 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | None | $72.44 | $72.44 | $95.50 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $97.72 Typical High $114.82 | Facility | None | $93.33 | $97.72 | $114.82 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $83.18 Typical High $112.20 | Professional | None | $33.11 | $83.18 | $112.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $74.13 Typical High $125.89 | Professional | None | $29.51 | $74.13 | $125.89 |
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 $36.31 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $36.31 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $14.45 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $10.96 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.77 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.24 | $9.77 | $10.00 |
Where Kansas sits
The same service costs 1.6 times more in Hawaii than in Delaware. 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· 18th of 51
$75.86
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.